Episode
Edge Trenching: Turning a Wound’s Cliff into a Healing Ramp
- Podcast
- Diabetic Foot Files
- Published
- Jul 25, 2026
- Duration seconds
- 1272
- Processing state
not_requested
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Summary
This episode introduces edge trenching, a novel debridement technique developed by Dr. Igor Melnichuk that targets dysfunctional wound edges (epibolies, hyperkeratosis, rolled or fibrotic margins) to create a biologically active transition zone and promote epithelial migration.It explains the procedure, proposed mechanisms, clinical use—especially in diabetic plantar ulcers—how trenches are created and repeated, and emphasizes that edge trenching must be part of comprehensive care addressing perfusion, infection control, offloading, and underlying causes.