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Dr. Nishant Dwivedi, MD is an orthopedist in Blaine, MN specializing in orthopedics/orthopedic surgery and hand surgery. He graduated from Boston University School of Medicine. Dr. Nishant Dwivedi, MD is affiliated with Twin Cities Orthopedics, Allina Health Mercy Hospital, INFINITE HEALTH COLLABORATIVE PA, Plymouth Orthopedic Surgery Center, North Memorial & Maple Grove Hospitals, North Memorial Ambulatory Surgery Center at Maple Grove and Blaine Orthopedic Surgery Center.
Debridement (Removal of Unhealthy Tissue)
Debridement is a procedure that removes damaged skin to help the body heal a chronic wound, acute injury, or burn. Several layers of skin surrounding a chronic wound can include foreign debris, dead (necrotic) tissue, infected tissue, and calloused (hyperkeratotic) skin. If left untreated, these damaged skin layers can spread infection to other parts of the body and may aggravate the wound and delay its healing.
Debriding (removing) this damaged and diseased skin encourages the growth of healthy new tissue, impeding infection by triggering the body's natural cycle of tissue renewal. For this reason, debridement functions both as a wound treatment and as a preventative measure against more complex consequences of infected skin, such as sepsis and amputation. In some circumstances, debridement provides additional aesthetic benefits such as decreased scarring. Debridement also permits doctors to retrieve tissue samples for testing, such as to determine whether patients need antibiotic treatment.
Wounds that frequently require debridement include:
Debridement can be performed either surgically or nonsurgically; some methods are less invasive than others. Doctors select the appropriate debridement technique by considering the location, cause, and size of a patient's wound and may also weigh the patient's overall wellbeing, age, and risk of infection.
Surgical debridement is performed by cutting away dead, infected, and hyperkeratotic skin with a surgical scalpel. For deep wounds that tear away the skin and go into the muscle, skin from another region of a patient's body may be grafted onto the wound, which may then be periodically assessed and rebandaged until fully healed.
Non-surgical debridement is achieved with water or a dissolvent gel. Water softens the damaged skin and affected tissue, allowing doctors to remove it with wet-to-dry dressing. When wet tissue dries, it adheres to the dry dressing or bandage and comes off when the dressing is pulled away. In contrast, dissolvent gel deconstructs tissue, which can be cleaned off of the wound. Nonsurgical debridement is less invasive than surgical techniques; however, it can entail repeat treatments, slowing wound recovery.
While the prospect of stripping away skin may seem jarring, debridement can be critical to the treatment and healing of wounds which cannot not heal independently.
Dr. Nishant Dwivedi, MD graduated from Boston University School of Medicine. He completed residency at Washington University Medical Center in St. Louis. He has a state license in Minnesota.
Medical School: Boston University School of Medicine
Residency: Washington University Medical Center in St. Louis
Licensed In: Minnesota
Dr. Nishant Dwivedi, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Nishant Dwivedi, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$12,178
$12,178 |
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$9,990
$9,990 |
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$325
$325 |
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$173
Variax $173 |
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$140
Total Foot System $140 |
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$213
ACTIS $111 |
SIMPLICITI $48 |
ONUREG $40 |
NA $14 |
| $12,503 | |
| $9,990 | |
| $526 |
Dr. Nishant Dwivedi practices hand surgery and orthopedics/orthopedic surgery in Blaine, MN, Ne Blaine, MN, and North Brooklyn Park, MN. Areas of expertise for Dr. Dwivedi include forearm fracture, radial head replacement, and wrist fracture. He is professionally affiliated with Twin Cities Orthopedics. He attended Boston University School of Medicine and subsequently trained at Washington University Medical Center in St. Louis for residency. He has received the following distinctions: Annual "Best Paper Award 2023" Journal of Hand Surgery (GO) for most exceptional published article; AAHS Candidate Membership, American Association for Hand Surgery; and ASSH Candidate Membership, American Society for Surgery of the Hand.
