The Versatility of Usage of Hydrosurgical Debridement in Major Burns. | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 14 February 2022 | ||||
| Document Type: Research article | ||||
| DOI: 10.21608/ejprs.2022.116468.1140 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Mohamed Reda Al Ashram 
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| Plastic burn Maxillofacial department facility of medicine Ain Shsms university | ||||
| Abstract | ||||
| Background: Burn wound debridement is an important step in management of major burn. There are several techniques of burn debridement include surgical, enzymatic, mechanical and autolytic. Hydrosurgical system is an additional type of debridement that preserve viable tissues, create smooth wound bed and decrease bacterial load. Objective: This study compared the hydrosurgical debridement and traditional surgical methods of debridement of major burns. Patients and Methods: This study is a prospective and comparative that compared traditional surgical debridement versus hydrosurgical debridement of major burn. This study was conducted between December 2020 to December 2021 at 2 major burn centers in Egypt (Burn Center of Ain Shams University hospital and Armed Forces Burn Center of El Helmia Armed Forces Hospital). Twenty patients with mixed depth of major burn were divided into two groups. In group I (n=10) debridement was done surgically by Watson knife. Although, group II (n=10) debridement was done by hydrosurgical system. Both groups were compared regarding intraoperative blood loos, blood component transfusion, mean number of sessions, mean duration of each session, healing time, risk of infection and vancover scare scale. Results: The current study showed that the estimated blood loss, healing time, blood component transfusion and risk of infection were lower in group II than group I. | ||||
| Keywords | ||||
| Keywords: Versajet®; burn debridement; burn excision; wound bed | ||||
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