You have evaluated a patient with a right medial lower extre…
You have evaluated a patient with a right medial lower extremity wound today. The wound bed is 80% granular, 20% yellow slough. There is moderate wound odor, and copious blue-green drainage on the dressings. The border is irregular and macerated. The periwound is moderately edematous, with moderate distal hemosiderin deposition. The patient states that his leg swells up throughout the day and weeps into his sock and shoe. You diagnose the underlying etiology as venous insufficiency and this is confirmed by the vascular surgeon, having tested the patient with a venous duplex scan with poor results, and a normal ABI bilaterally. What form of debridement would you do/recommend?