irrigation and debridement
Also written as: I&D
Surgical procedure combining wound cleansing with saline solution and removal of devitalized tissue.
Full Definition
Irrigation and debridement (I&D) is a fundamental surgical procedure that combines thorough wound cleansing with sterile saline solution and systematic removal of necrotic, devitalized, or infected tissue. In acute care surgery, I&D is essential for managing contaminated wounds, surgical site infections, and traumatic injuries. The irrigation component helps remove debris and reduces bacterial load, while debridement eliminates tissue that cannot heal and serves as a nidus for infection. The procedure may be performed in the operating room, emergency department, or bedside, depending on the extent of involvement. Proper documentation should specify the volume of irrigation used and the amount of tissue debrided.
Usage
Usage note: Commonly abbreviated as I&D in documentation. Specify irrigation volume and extent of debridement.
In Context
- "The infected abdominal incision required irrigation and debridement with 3 liters of normal saline." — Operative report
- "Serial irrigation and debridement procedures were performed until healthy tissue was evident." — Surgical progress note