The specifics of the operation may vary depending on the diagnosis, location and volume of necrotic tissue, as well as the patient's general health. In particular, in case of gangrene, the operation is recommended to be performed as soon as possible, while in case of frostbite or burn, it can be postponed for 1-2 weeks to form a clear border of necrosis.
The goal of necrotectomy is to remove all dead tissue, therefore, in difficult cases, amputation of the phalanx, the entire toe or part of the limb may also be required. The criterion for complete excision of necrosis is the appearance of capillary bleeding. Autodermoplasty can be performed to close the wound or form a stump.
Necrectomy is performed by excision of tissue using surgical instruments or a laser, and sometimes enzymatic therapy - a preparation containing active enzymes that cause rejection of necrotic tissue is applied to the wound. Which technique will be most effective is determined individually by surgeons, taking into account all the features of the patient's condition.