title: [Debridement of burn wounds using a hydrosurgery system].
abstract: The healing process of burn wounds is strongly associated with the depth of wounds, and the depth of wounds is dependent to initial temperature and duration of contact with source of heat, infection, and secondary damage in the debridement process. On this basis, some experts present a concept of accurate debridement, which denotes removal of all necrotic tissue and at the same time protecting viable tissue for repair of raw wounds in order to maximally maintain patients' appearance and functions. A new technology of burn wound debridement--hydrosurgery system has been applied clinically. This paper summarizes the characteristics of hydrosurgery in the aspects of its technology, suitable wounds, bacterial load, amount of blood loss, and degree of pain produced during operation, and also the author's opinions regarding its efficacy to realize an accurate debridement for burn injury.
authors.affiliation: Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Gong
authors.affiliation: Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
authors.forename: Kaiyang
authors.initials: K
authors.lastname: Lyu
authors.affiliation: Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
authors.forename: Guangyi
authors.initials: G
authors.lastname: Wang
authors.affiliation: Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
authors.forename: Guangqing
authors.initials: G
authors.lastname: Wang
authors.affiliation: Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
authors.forename: Shihui
authors.initials: S
authors.lastname: Zhu
authors.affiliation: Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China; Email: xiazhaofan@163.com.
authors.forename: Zhaofan
authors.initials: Z
authors.lastname: Xia
mesh_terms: D002056:Burns / Q000473:pathology / Q000601:surgery*; D003646:Debridement / Q000379:methods*; D006801:Humans; D009336:Necrosis; D013530:Surgical Wound Infection; D016896:Treatment Outcome; D014945:Wound Healing