title: The estimation of tissue loss during tangential hydrosurgical debridement.
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.
authors.affiliation: Department of Plastic Surgery, Tokyo Medical University Hospital, Tokyo, Japan. hmatsu-tki@umin.ac.jp
authors.forename: Hajime
authors.initials: H
authors.lastname: Matsumura
authors.forename: Motohiro
authors.initials: M
authors.lastname: Nozaki
authors.forename: Katsueki
authors.initials: K
authors.lastname: Watanabe
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sakurai
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Kawakami
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nakazawa
authors.forename: Izumi
authors.initials: I
authors.lastname: Matsumura
authors.forename: Jiro
authors.initials: J
authors.lastname: Katahira
authors.forename: Sadaki
authors.initials: S
authors.lastname: Inokuchi
authors.forename: Shigeru
authors.initials: S
authors.lastname: Ichioka
authors.forename: Hiroto
authors.initials: H
authors.lastname: Ikeda
authors.forename: Trevor
authors.initials: T
authors.lastname: Mole
authors.forename: Jennifer
authors.initials: J
authors.lastname: Smith
authors.forename: Robin
authors.initials: R
authors.lastname: Martin
authors.forename: Naoki
authors.initials: N
authors.lastname: Aikawa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult