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The indications for Versajet® hydrosurgical debridement in burns

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Abstract

Versajet® (Smith and Nephew) is a hydrosurgical debridement tool that has been used in the debridement of burns. Versajet® debridement is expensive and time consuming; therefore, clear indications for its use in burns surgery are needed. A review of the literature followed by a prospective trial of ten consecutive burns patients was carried out to ascertain the indications for the use of Versajet® debridement in our department. Versajet® made an excellent tool at lower settings for cleaning late presentation paediatric scalds, the debridement of mixed-depth burns to allow dermal preservation and the debridement and/or excision of all thickness burns in anatomically difficult areas. Three indications for the use of Versajet® in our unit were developed: cleaning of late-presentation paediatric scalds to allow the application of Biobrane®, dermal preservation in mid-dermal paediatric burns and debridement of anatomically difficult burns. Each of these three indications is illustrated photographically with case reports.

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Conflict of interest statement

During our study, part of the equipment was on loan from Smith and Nephew for the duration of the trial. No funding was received. None of the authors have any financial or personal relationships with Smith and Nephew or its employees.

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Level 4 consent was obtained for all the photographs appearing in this article.

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Authors and Affiliations

  1. South West Regional Burns and Plastic Surgery Service, Department of Plastic Surgery, Frenchay Hospital, Frenchay, Bristol, BS16 1LE, UK

    J. E. Rees-Lee, T. S. Burge & C. M. Estela

Authors
  1. J. E. Rees-Lee
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  2. T. S. Burge
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  3. C. M. Estela
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Correspondence to J. E. Rees-Lee.

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Rees-Lee, J.E., Burge, T.S. & Estela, C.M. The indications for Versajet® hydrosurgical debridement in burns. Eur J Plast Surg 31, 165–170 (2008). https://doi.org/10.1007/s00238-008-0232-4

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  • DOI: https://doi.org/10.1007/s00238-008-0232-4

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