Toward a Practical Framework for Debridement in Chronic Wounds: Findings From a United States-Based Multidisciplinary Consensus Panel

This clinical guidance document on debridement in chronic wound care, published in theWOUNDS Clinical Guidance Series(March 2026), presents a multidisciplinary consensus from leading US-based experts. It delivers practical, patient-centered recommendations to support clinicians in selecting and sequencing wound debridement techniques across a range of wound types, care settings, and patient populations.

The guidance positions debridement as a dynamic process rather than a one-time intervention, introducing a flexible “chutes and ladders” framework for escalating and de-escalating treatment. Key topics include wound bed preparation, pain management, patient communication, and the role of diagnostic and imaging technologies in clinical decision-making.

In addition to 17 consensus statements, the document reviews the full spectrum of debridement methods—including autolytic, enzymatic, mechanical, and surgical approaches—offering actionable insights for real-world clinical practice.

Overall, this resource provides an evidence-informed framework to optimize chronic wound management, improve healing outcomes, and support consistent, high-quality care across diverse health care environments.