Hydrosurgical debridement

Hydrosurgical debridement uses a high-pressure saline jet to remove necrotic tissue. A small randomised controlled trial compared hydrosurgical debridement (Versajet) with sharp debridement for patients with venous leg ulcers and diabetic foot ulcers. Despite reporting shorter procedural time for the Versajet system, no overall benefit in healing rates was found1.

Given the uncertain relationship between debridement and healing, it is not possible to routinely recommend hydrosurgical debridement at the time of writing.

1 Caputo WJ, Beggs DJ, DeFede JL, Simm L, Dharma H. A prospective randomised controlled clinical trial comparing hydrosurgery debridement with conventional surgical debridement in lower extremity ulcers. Int Wound J 2008;5(2):288–94. [ URL]Return