Hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns

Wormald, Justin C.R.; Wade, Ryckie G.; Dunne, Jonathan; Collins, Declan; Jain, Abhilash

doi:10.1002/14651858.cd012826

Cited by 4 publications

(3 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hydrosurgical debridement is a novel modality, which enables the surgeon to precisely cut and remove nonviable tissue without causing collateral damage to healthy surrounding tissue using highly pressurized saline solution emitted from the tip of a hand-held instrument [25] . The jet travels through the nozzle of the instrument generating a Venturi effect which is an increase in the fluid's velocity and a decrease in its static pressure due to its passage through a constricted area [26] . Here, in this case, we have used jet force technology (JFT), which is a type of hydrotherapy previously studied extensively in our department and shown to be an effective means to debride the wounds without the mess of traditional methods and hasten wound healing [27] .…”

Section: Discussionmentioning

confidence: 99%

Role of newer technologies in wound bed preparation in Fournier's gangrene

Dutta¹,

Aggarwal²,

Chittoria³

et al. 2018

PAR

View full text Add to dashboard Cite

Fournier's gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high mortality rate of 20% to 88% reported in the literature. Management is multimodal, and the importance of aggressive debridement, broad-spectrum antibiotics and intensive supportive care cannot be emphasised. The addition of newer modalities of ulcer/wound management like low level laser therapy, hydrojet debridement and platelet rich plasma can be used to augment the existing principles of management and reduce the morbidity and mortality associated with the condition. This article is the authors' experience with the condition and the above stated newer modalities in the management while staying true to the principles of management.

show abstract

Section: Discussionmentioning

confidence: 99%

Role of newer technologies in wound bed preparation in Fournier's gangrene

Dutta¹,

Aggarwal²,

Chittoria³

et al. 2018

PAR

View full text Add to dashboard Cite

show abstract

“…Only five Cochrane Database Systematic Reviews examining wound debridement and the effectiveness of the modality were published between 2010 and 2020 (Supplemental Table 1). [17][18][19][20][21] Note, however, that the Cochrane reviews require a very high level of evidence, and there are many more systemic and scoping review articles that mention debridement.…”

Section: Debridement Techniques and Their Indicationsmentioning

confidence: 99%

Debridement: Technical Considerations and Treatment Options for the Interprofessional Team

Tran

Huang

Chiu

et al. 2023

Adv Skin Wound Care

View full text Add to dashboard Cite

GENERAL PURPOSETo enhance the learner’s chronic wound debridement competence as an interprofessional team member.TARGET AUDIENCEThis continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.LEARNING OBJECTIVES/OUTCOMESAfter participating in this educational activity, the participant will:1. Differentiate healable, maintenance, and nonhealable wounds to create a holistic debridement treatment plan using the Wound Bed Preparation paradigm.2. Evaluate active debridement options including the potential need for an interprofessional referral or specialized investigations.3. Assess chronic wound debridement options.4. Analyze case studies for appropriate clinical application of debridement modalities.

show abstract

“…The surgical management of burns aims to facilitate timely wound healing, ideally within 2 weeks, to maximize function of the affected area and minimize pathological scarring. Once the burned skin has been debrided (using a blade, hydrosurgery or enzymatic debridement) there may be insufficient healthy dermis remaining to achieve spontaneous wound healing within an appropriate timescale. In this situation, an autologous split‐skin graft (SSG) may be used to reconstruct the wound bed.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of fibrin glue in burn wound reconstruction

Miller

Wormald

Wade

et al. 2019

British Journal of Surgery

View full text Add to dashboard Cite

Background In the reconstruction of burns using split‐skin grafts (SSGs), fibrin glue can be used to improve graft take and reduce haematoma formation, although the efficacy and cost‐effectiveness are unknown. This systematic review evaluated outcomes of fibrin glue compared with conventional SSG attachment techniques. Outcomes of interest included SSG take, haematoma formation, patient satisfaction and cost‐effectiveness. Methods This PROSPERO‐registered review was performed in accordance with the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA statement. Embase, PubMed, Cochrane and http://clinicaltrial.gov databases were searched systematically. Observational and experimental studies comparing fibrin glue with other methods of SSG attachment in burn wounds were included. Risk of bias was assessed using the Cochrane risk‐of‐bias and Risk of Bias In Non‐Randomized Studies – of Intervention tools. The quality of the evidence was assessed using the GRADE tool. Results Two RCTs and four observational studies were included. Graft take at day 5 was not significantly different between groups (3 studies, 183 individuals). Fibrin glue significantly reduced the risk of postoperative haematoma in two studies and reduced patient‐reported pain in two studies, with suggested cost savings in four studies. All studies were at risk of methodological bias and the quality of the evidence was universally very low. Conclusion As the evidence is sparse, the quality very low and the risk of bias significant both within and across studies, it is not possible to make any recommendations regarding the use of fibrin glue in burn wounds.

show abstract

Hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns

Abstract: This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the effects of hydrosurgical debridement and skin grafting versus conventional surgical debridement and skin grafting for the treatment of acute partial-thickness burns.

Cited by 4 publications

References 30 publications

Role of newer technologies in wound bed preparation in Fournier's gangrene

Role of newer technologies in wound bed preparation in Fournier's gangrene

Debridement: Technical Considerations and Treatment Options for the Interprofessional Team

Systematic review of fibrin glue in burn wound reconstruction

Contact Info

Product

Resources

About