Clean Surgically Once Only
First, the surgeon should only get one shot at cleaning the wound. I once had an eighty-eight-year-old male client who had a gaping wound on the inner side of his right foot. He was going to a podiatrist once every week. Every time I inspected the wound during the dressing change, it was squeaky clean. The problem is that there was no progress in healing. I found out that the podiatrist was scraping the wound bed every week. By doing this, he unwittingly removed all the material that the body produces for healing (granulation). This was like planting seeds in a garden, then pulling out all the seedlings by the roots and wondering why nothing grows. When I explained to the podiatrist what was happening, he stopped the weekly meddling, and the wound started to heal.