2012•Annals of Plastic SurgeryRequires access
The Estimation of Tissue Loss During Tangential Hydrosurgical Debridement
Hajime Matsumura, Motohiro Nozaki, Katsueki Watanabe, Hiroyuki Sakurai, Shigehiko Kawakami, Hiroaki Nakazawa, Izumi Matsumura, Jiro Katahira, Sadaki Inokuchi, Shigeru Ichioka, Hiroto Ikeda, Trevor Mole, Jennifer Smith, R. H. Martin, Naoki Aikawa
Open publisher page 29 citations
Abstract
The preservation of healthy tissue during surgical debridement is desirable as this may improve clinical outcomes. This study has estimated for the first time the amount of tissue lost during debridement using the VERSAJET system of tangential hydrosurgery. A multicenter, prospective case series was carried out on 47 patients with mixed wound types: 21 (45%) burns, 13 (28%) chronic wounds, and 13 (28%) acute wounds. Overall, 44 (94%) of 47 patients achieved appropriate debridement after a single debridement procedure as verified by an independent photographic assessment. The percentage of necrotic tissue reduced from a median of 50% to 0% (P < 0.001). Median wound area and depth increased by only 0.3 cm (6.8%) and 0.5 mm (25%), respectively. Notably, 43 (91%) of 47 wounds did not progress into a deeper compartment, indicating a high degree of tissue preservation.