The Efficiency of Burn Wounds Debridement with Use of Hydrosurgery - Our Experiences

Open access

Abstract

The aim of the study was to present experience of doctors from the Center for Burns Treatment in Siemianowice Śląskie who use a Versajet system.

Material and methods. Debridement with the use of a water jet was applied in 70 patients with IIbo /IIIo thermal burns in the period between 2009-2013. The corresponding evaluation involved duration of operation, locations, wound surfaces and technique of debridement after operation. Microbiological tests were also performed before and after debridement.

Results and conclusions. In the paper, its authors draw attention to the short time of debridement. The application of a water jet allows precise debridement, particularly in hardly accessible places, preparation of wounds to be covered with autologous split thickness skin graft, protection of healthy tissues.

Abstract

The aim of the study was to present experience of doctors from the Center for Burns Treatment in Siemianowice Śląskie who use a Versajet system.

Material and methods. Debridement with the use of a water jet was applied in 70 patients with IIbo /IIIo thermal burns in the period between 2009-2013. The corresponding evaluation involved duration of operation, locations, wound surfaces and technique of debridement after operation. Microbiological tests were also performed before and after debridement.

Results and conclusions. In the paper, its authors draw attention to the short time of debridement. The application of a water jet allows precise debridement, particularly in hardly accessible places, preparation of wounds to be covered with autologous split thickness skin graft, protection of healthy tissues.

References

  • 1. Barret JP: Burn wound excision with hydro-surgery: Initial experience. Injury Extra 2006; 37: 187-89.

  • 2. Gravante G, Delogu D, Esposito G et al.: Versajet hydrosurgery versus classic escharectomy for burn dæbridment: a prospective randomized trial. J Burn Care Res 2007; 28(5): 720-24.

  • 3. Rappl T, Regauer S, Wiedner M et al.: Clinical experiences using the Versajet system in burns: indications and applications. Handchir Mikrochir Plast Chir 2007; 39(5): 308-13.

  • 4. Rennekampf HO, Schaller HE, Wisser D et al.: Debridement of burn wounds with a water jet surgical tool. Burns 2006; 32: 64-69.

  • 5. Gurunluoglu R: Experiences with waterjet hydrosurgery system in wound debridement World J of Emergency Surg 2007; 2: 1-10.

  • 6. Caputo WJ, Beggs DJ, DeFede JL et al.: A prospective randomized controlled clinical trial comparing hydrosurgery debridement with conventional surgical debridement in lower extremity ulcers. IWJ 2008; 5(2): 288-94.

  • 7. Duteille F, Perrot P: Management of 2nd-degree facial burns using the VersajetR hydrosurgery system and xenograft: A prospective evaluation of 20 cases. Burns 2012; 38: 724-29.

  • 8. Vanwijck R, Kaba L, Boland S et al.: Immediate skin grafting of sub-acute and chronic wounds debrided by hydrosurgery. J Plast Reconstr Aesthet Surg 2010; 63(3): 544-49.

  • 9. Fraccalvieri M, Serra R, Ruka E et al.: Surgical debridement with Versajet: an analysis of bacteria load of the wound bed pre and post-treatment and skin graft taken. A preliminary pilot study IWJ 2011; 8(2); 155-61.

  • 10. Bartoszewicz M, Junka A: Leczenie miejscowe rany przewlek.ej obj.tej procesem infekcyjnym w.wietleobowi.zuj.cych wytycznych. Leczenie Ran 2012; 9(3): 93-97.

  • 11. Rybak Z: Aktualna strategia leczenia ran przewlek.ych. Med Prakt Chir 2010; 4(92): 59-65.

  • 12. Glik J, Szyma. ska B: Wp.yw hiperbarii tlenowej na gojenie si. ran (W: Siero. A, Cie.lar G, Kawecki M, red. Zarys medycyny hiperbarycznej). õ-medica Press, Bielsko-Bia. a 2007; 133-39.

  • 13. Stephen R, Thom MD: Hyperbaric Oxygen: Its Mechanisms and Efficacy. Plast Reconstr Surg 2011; 127: 131-41.

  • 14. Cie.lar G, Nowak M, Kawecki M i wsp.: Zastosowanie zmiennych po. magnetycznych w leczeniu ran. Leczenie Ran 2005; 2(4): 99-106.

  • 15. Kawecki M, Miku. K, Glik J i wsp.: Ocena formy stosowania ozonoterapii miejscowej na stopie. eradykacji rany przewlekej. doniesienie wstpne. J Othop Trauma Surg Rel Res 2012; 2(28): 74-82.

  • 16. Matsumura H, Nozaki M, Watanabe K et al.: The estimation of tissue loss during tangential hydrosurgical debridement. Ann Plast Surg 2012; 69(5): 521-25.

  • 17. Mosti G, Iabichella ML, Picerni P et al.: The debridement of hard to heal leg ulcers by means of a new device based on Fluidjet technology Int Wound J 2005; 2: 307-14.

  • 18. Granick MS, Jacoby M, Noruthrun S et al.: Clinical and economic impact of hydrosurgical debridement on chronic wounds. Wounds 2006; 18: 35-39.

1. Barret JP: Burn wound excision with hydro-surgery: Initial experience. Injury Extra 2006; 37: 187-89.

2. Gravante G, Delogu D, Esposito G et al.: Versajet hydrosurgery versus classic escharectomy for burn dæbridment: a prospective randomized trial. J Burn Care Res 2007; 28(5): 720-24.

3. Rappl T, Regauer S, Wiedner M et al.: Clinical experiences using the Versajet system in burns: indications and applications. Handchir Mikrochir Plast Chir 2007; 39(5): 308-13.

4. Rennekampf HO, Schaller HE, Wisser D et al.: Debridement of burn wounds with a water jet surgical tool. Burns 2006; 32: 64-69.

5. Gurunluoglu R: Experiences with waterjet hydrosurgery system in wound debridement World J of Emergency Surg 2007; 2: 1-10.

6. Caputo WJ, Beggs DJ, DeFede JL et al.: A prospective randomized controlled clinical trial comparing hydrosurgery debridement with conventional surgical debridement in lower extremity ulcers. IWJ 2008; 5(2): 288-94.

7. Duteille F, Perrot P: Management of 2nd-degree facial burns using the VersajetR hydrosurgery system and xenograft: A prospective evaluation of 20 cases. Burns 2012; 38: 724-29.

8. Vanwijck R, Kaba L, Boland S et al.: Immediate skin grafting of sub-acute and chronic wounds debrided by hydrosurgery. J Plast Reconstr Aesthet Surg 2010; 63(3): 544-49.

9. Fraccalvieri M, Serra R, Ruka E et al.: Surgical debridement with Versajet: an analysis of bacteria load of the wound bed pre and post-treatment and skin graft taken. A preliminary pilot study IWJ 2011; 8(2); 155-61.

10. Bartoszewicz M, Junka A: Leczenie miejscowe rany przewlek.ej obj.tej procesem infekcyjnym w.wietleobowi.zuj.cych wytycznych. Leczenie Ran 2012; 9(3): 93-97.

11. Rybak Z: Aktualna strategia leczenia ran przewlek.ych. Med Prakt Chir 2010; 4(92): 59-65.

12. Glik J, Szyma. ska B: Wp.yw hiperbarii tlenowej na gojenie si. ran (W: Siero. A, Cie.lar G, Kawecki M, red. Zarys medycyny hiperbarycznej). õ-medica Press, Bielsko-Bia. a 2007; 133-39.

13. Stephen R, Thom MD: Hyperbaric Oxygen: Its Mechanisms and Efficacy. Plast Reconstr Surg 2011; 127: 131-41.

14. Cie.lar G, Nowak M, Kawecki M i wsp.: Zastosowanie zmiennych po. magnetycznych w leczeniu ran. Leczenie Ran 2005; 2(4): 99-106.

15. Kawecki M, Miku. K, Glik J i wsp.: Ocena formy stosowania ozonoterapii miejscowej na stopie. eradykacji rany przewlekej. doniesienie wstpne. J Othop Trauma Surg Rel Res 2012; 2(28): 74-82.

16. Matsumura H, Nozaki M, Watanabe K et al.: The estimation of tissue loss during tangential hydrosurgical debridement. Ann Plast Surg 2012; 69(5): 521-25.

17. Mosti G, Iabichella ML, Picerni P et al.: The debridement of hard to heal leg ulcers by means of a new device based on Fluidjet technology Int Wound J 2005; 2: 307-14.

18. Granick MS, Jacoby M, Noruthrun S et al.: Clinical and economic impact of hydrosurgical debridement on chronic wounds. Wounds 2006; 18: 35-39.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

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CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207

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