Selective debridement of burn wounds using hydrosurgery system
| Autor: | Fei Zhou, Ziheng Zhou, Jun Wu, Fangyingnan Zhang, Bin Shu, Junyou Zhu, Shaohai Qi, Hanxiao Yin, Meifang Yin, Mingzhou Yuan, Jinghao Feng, Lijun Zhang, Xiaoyan Wang |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Swine medicine.medical_treatment Dermatology Resection Histological staining 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Skin tissue medicine Animals Tissue selectivity Prospective Studies 030212 general & internal medicine Pounds per square inch Therapeutic Irrigation Hydrotherapy Wound Healing Burn wound Debridement integumentary system business.industry Equipment Design Skin Transplantation Original Articles Surgery Disease Models Animal Treatment Outcome Burns Normal skin business Follow-Up Studies |
| Zdroj: | Int Wound J |
| ISSN: | 1742-481X 1742-4801 |
| Popis: | In recent years, hydrosurgery is a technology that has been applied more and more in debridement procedures. However, the selectivity of hydrosurgery to cutaneous necrotic tissues has not been proved. This study was designed to investigate the possible tissue selectivity of hydrosurgery in the debridement in burn wounds. Deep partial‐thickness burns were produced on the back of porcine, and 48 hours later, both burn wounds and normal skin were debrided using the hydrosurgery system. Then tissue samples were taken, and histological staining was performed and observed under microscope. Burn wound resection rates and the normal skin damaged rates were measured. Our result indicated that the burn wounds were significantly more sensitive than the normal skin when the water pressure produced by the hydrosurgery system was set between 3000 and 5000 psi (pounds per square inch), that is, the necrotic tissue portions were debrided more easily than the normal skin tissue. Based on these data, we suggest that 3000 to 5000 psi of water pressure in the hydrosurgery system has a skin tissue selectivity in burn wounds. |
| Databáze: | OpenAIRE |
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