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The edges of the wound should pull together easily; if not, undermining needs to be done. Undermining means cutting the fibrous septae that connect the skin to the underlying fascia, and generally this is accomplished by using the scalpel to cut the septi just beneath the dermis as shown here.
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library.med.utah.edu/kw/derm/pages/prex_16.htm
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Undermining is a wider area of wounding that lies beneath the wound opening. Think of undermining like this: the wound is larger than the "hole" or entrance of the wound. Tunneling is like a cave, undermining is like a cavern or cavity.
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allnurses.com/wound-ostomy-continence/undermining-what-...
allnurses.com/wound-ostomy-continence/undermining-what-it-225255.html
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It is particularly helpful in washing exudate from areas where undermining has occured if the spray can be aimed at the area of undermining. Wound cleansers also help to wet necrotic tissue making it easier for blunt and sharp debridement to take place.
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jan.ucc.nau.edu/~daa/woundproducts/products.html
jan.ucc.nau.edu/~daa/woundproducts/products.html
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The closure of skin defects is accompanied by tension between the wound edges. High wound-closing tension can result in reduced microcirculation and poor healing of the wound. Undermining of the skin is a basic technique for facilitating wound healing and providing better microcirculation.
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eclipsconsult.com/eclips/article/Plastic%20and%20Aesthe...
eclipsconsult.com/eclips/article/Plastic%20and%20Aesthetic%20Surgery/S1535-1513(08)70440-5
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Early detection of invisible pressure ulcers and wound undermining by Episcan ultrasound scanner and Q.Light non-laser phototherapy device to stimulate healing of even very long-term chronic wounds ... It can also help in the management of existing pressure sores and detect wound undermining. Visit the Pressure Ulcer...
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www.professional.a1med.co.uk/decubitus.html
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; Episcan Main Brochure; Episcan Technology and Applications - available upon request; Episcan Dermatology Presentation, Part A and Part B; Episcan Wound Presentation; Episcan Pressure Ulcer Presentation...
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www.professional.a1med.co.uk/episcan_enquiries.html
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The two most popular configurations are: Early detection of pressure ulcers and wound undermining; Episcan® with 18MHz scanner probe; ... Episcan® can detect both early stage pressure ulcers and wound undermining. Precautions can then minimise pain and discomfort to the patient and save nursing time and materials.
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www.mediluxhealth.net/episcan.html
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President Barack Obama acknowledged in a major economic speech Tuesday that "times are still tough" and warned that a culture of "instant gratification" had produced neglect of major national problems that wound up undermining the economy. ... And beyond that, ... "For too long, too many in Washington put off hard decisions for...
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news.yahoo.com/s/politico/21231
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Formal Name:Undermining Wound ... Clinical Headings > Clinical / Care Process > Finding(s) and Result(s) > Undermining Wound ... An undermining wound is described as an area of tissue destruction underneath intact skin that can slow the wound healing process.
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www.datadictionaryadmin.scot.nhs.uk/isddd/15527.html
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