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3Débridement

The surgical site should be thoroughly irrigated ..

The surgical site should be thoroughly irrigated (several liters of fluid – optimally, a balanced salt solution, such as Ringer-lactate - to reduce the bacterial population) (see next step). The epithet “dilution is the solution to pollution” has certain merit in this context.

In cases with significant amounts of contaminated, dead, or possibly ischaemic, tissue, additional wound excision 48 hours later (second look) is often necessary – if in doubt, look again.