Abstract
BackgroundRecently, a new device, the Versajet™, involving "Hydrosurgery Technology" which combines lavage and sharp debridement instrumentation has been described for soft tissue debridement.MethodsThe Versajet™ Hydrosurgery System utilizes a reusable power console with foot pedal activation, disposable handpiece and tubing assembly in conjunction with sterile saline and standard waste receptacle. The purpose of this paper is to report our experiences with this instrument in debridement of a variety of wounds prior to final reconstructive surgery. Technical details and pitfalls are discussed to facilitate clinical use.ResultsEfficient, safe and fast debridement was achieved in all patients using the hydrosurgery system. The actual time the hydrosurgery system was used for debridement averaged as 15.5 minutes. In ten patients, an adequately debrided wound bed was achieved with a single operative procedure, in four patients; two stages were required prior to reconstructive surgery. In one patient with recurrent sacral-iscial pressure sore, two debridements were carried out followed by long term vacuum assisted closure. The postoperative course was uneventful in all patients, but in three with a minor breakdown of the skin graft, which eventually healed with no surgical intervention.ConclusionAs a result of our clinical experience, the Versajet™ enables surgeon to precisely target damaged and necrotic tissue and spare viable tissue. This modality may be a useful alternative tool for soft tissue debridement in certain cases. However, further studies are required to investigate its cost-effectiveness in wound management.
Highlights
A new device, the VersajetTM, involving "Hydrosurgery Technology" which combines lavage and sharp debridement instrumentation has been described for soft tissue debridement
The VersajetTM hydrosurgery system was used for soft tissue debridement in fifteen patients with a variety of wounds
DsFuiegrbguerrirdeye8smyestnetmof the burn wound with the VersajetTM hydroDebridement of the burn wound with the VersajetTM hydrosurgery system
Summary
A new device, the VersajetTM, involving "Hydrosurgery Technology" which combines lavage and sharp debridement instrumentation has been described for soft tissue debridement. Surgical debridement of necrotic tissue is an essential part of wound care prior to any reconstructive options. Sharp techniques utilized for this purpose have been the mainstay and are commonly used in combination with pulsed lavage and/or irrigation. A new device, the VersajetTM Hydrosurgery system, has been described for debridement. The VersajetTM hydrosurgery system utilizes high fluid technology for wound debridement. Few papers evaluating its role have been published in the literature [1,2,3,4]. The purpose of this paper is to report our experiences with this instrument in debridement of a variety of wounds prior to (page number not for citation purposes)
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