Application of hydrosurgery for burn wound debridement: An 8-year cohort analysis

C. M. Legemate, H. Goei, T. H. J. Nijhuis, M. E. van Baar, O. F. E. Gostelie, C. H. van der Vlies, the Dutch Burn Repository Group

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

INTRODUCTION: During the last decade, the Versajet™ hydrosurgery system has become popular as a tool for tangential excision in burn surgery. Although hydrosurgery is thought to be a more precise and controlled manner for burn debridement prior to skin grafting, burn specialists decide individually whether hydrosurgery should be applied in a specific patient or not. The aim of this study was to gain insight in which patients hydrosurgery is used in specialized burn care in the Netherlands.

METHODS: A retrospective study was conducted in all patients admitted to a Dutch burn centre between 2009 and 2016. All patients with burns that underwent surgical debridement were included. Data were collected using the national Dutch Burn Repository R3.

RESULTS: Data of 2113 eligible patients were assessed. These patients were treated with hydrosurgical debridement (23.9%), conventional debridement (47.7%) or a combination of these techniques (28.3%). Independent predictors for the use of hydrosurgery were a younger age, scalds, a larger percentage of total body surface area (TBSA) burned, head and neck burns and arm burns. Differences in surgical management and clinical outcome were found between the three groups.

CONCLUSION: The use of hydrosurgery for burn wound debridement prior to skin grafting is substantial. Independent predictors for the use of hydrosurgery were mainly burn related and consisted of a younger age, scalds, a larger TBSA burned, and burns on irregularly contoured body areas. Randomized studies addressing scar quality are needed to open new perspectives on the potential benefits of hydrosurgical burn wound debridement.

Original languageEnglish
Pages (from-to)88-96
Number of pages9
JournalBurns
Volume45
Issue number1
Early online date12 Oct 2018
DOIs
Publication statusPublished - 1 Feb 2019

Cite this

Legemate, C. M., Goei, H., Nijhuis, T. H. J., van Baar, M. E., Gostelie, O. F. E., van der Vlies, C. H., & the Dutch Burn Repository Group (2019). Application of hydrosurgery for burn wound debridement: An 8-year cohort analysis. Burns, 45(1), 88-96. https://doi.org/10.1016/j.burns.2018.08.015
Legemate, C. M. ; Goei, H. ; Nijhuis, T. H. J. ; van Baar, M. E. ; Gostelie, O. F. E. ; van der Vlies, C. H. ; the Dutch Burn Repository Group. / Application of hydrosurgery for burn wound debridement : An 8-year cohort analysis. In: Burns. 2019 ; Vol. 45, No. 1. pp. 88-96.
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title = "Application of hydrosurgery for burn wound debridement: An 8-year cohort analysis",
abstract = "INTRODUCTION: During the last decade, the Versajet™ hydrosurgery system has become popular as a tool for tangential excision in burn surgery. Although hydrosurgery is thought to be a more precise and controlled manner for burn debridement prior to skin grafting, burn specialists decide individually whether hydrosurgery should be applied in a specific patient or not. The aim of this study was to gain insight in which patients hydrosurgery is used in specialized burn care in the Netherlands.METHODS: A retrospective study was conducted in all patients admitted to a Dutch burn centre between 2009 and 2016. All patients with burns that underwent surgical debridement were included. Data were collected using the national Dutch Burn Repository R3.RESULTS: Data of 2113 eligible patients were assessed. These patients were treated with hydrosurgical debridement (23.9{\%}), conventional debridement (47.7{\%}) or a combination of these techniques (28.3{\%}). Independent predictors for the use of hydrosurgery were a younger age, scalds, a larger percentage of total body surface area (TBSA) burned, head and neck burns and arm burns. Differences in surgical management and clinical outcome were found between the three groups.CONCLUSION: The use of hydrosurgery for burn wound debridement prior to skin grafting is substantial. Independent predictors for the use of hydrosurgery were mainly burn related and consisted of a younger age, scalds, a larger TBSA burned, and burns on irregularly contoured body areas. Randomized studies addressing scar quality are needed to open new perspectives on the potential benefits of hydrosurgical burn wound debridement.",
author = "Legemate, {C. M.} and H. Goei and Nijhuis, {T. H. J.} and {van Baar}, {M. E.} and Gostelie, {O. F. E.} and {van der Vlies}, {C. H.} and {the Dutch Burn Repository Group}",
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Legemate, CM, Goei, H, Nijhuis, THJ, van Baar, ME, Gostelie, OFE, van der Vlies, CH & the Dutch Burn Repository Group 2019, 'Application of hydrosurgery for burn wound debridement: An 8-year cohort analysis' Burns, vol. 45, no. 1, pp. 88-96. https://doi.org/10.1016/j.burns.2018.08.015

Application of hydrosurgery for burn wound debridement : An 8-year cohort analysis. / Legemate, C. M.; Goei, H.; Nijhuis, T. H. J.; van Baar, M. E.; Gostelie, O. F. E.; van der Vlies, C. H.; the Dutch Burn Repository Group.

In: Burns, Vol. 45, No. 1, 01.02.2019, p. 88-96.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Application of hydrosurgery for burn wound debridement

T2 - An 8-year cohort analysis

AU - Legemate, C. M.

AU - Goei, H.

AU - Nijhuis, T. H. J.

AU - van Baar, M. E.

AU - Gostelie, O. F. E.

AU - van der Vlies, C. H.

AU - the Dutch Burn Repository Group

N1 - Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.

PY - 2019/2/1

Y1 - 2019/2/1

N2 - INTRODUCTION: During the last decade, the Versajet™ hydrosurgery system has become popular as a tool for tangential excision in burn surgery. Although hydrosurgery is thought to be a more precise and controlled manner for burn debridement prior to skin grafting, burn specialists decide individually whether hydrosurgery should be applied in a specific patient or not. The aim of this study was to gain insight in which patients hydrosurgery is used in specialized burn care in the Netherlands.METHODS: A retrospective study was conducted in all patients admitted to a Dutch burn centre between 2009 and 2016. All patients with burns that underwent surgical debridement were included. Data were collected using the national Dutch Burn Repository R3.RESULTS: Data of 2113 eligible patients were assessed. These patients were treated with hydrosurgical debridement (23.9%), conventional debridement (47.7%) or a combination of these techniques (28.3%). Independent predictors for the use of hydrosurgery were a younger age, scalds, a larger percentage of total body surface area (TBSA) burned, head and neck burns and arm burns. Differences in surgical management and clinical outcome were found between the three groups.CONCLUSION: The use of hydrosurgery for burn wound debridement prior to skin grafting is substantial. Independent predictors for the use of hydrosurgery were mainly burn related and consisted of a younger age, scalds, a larger TBSA burned, and burns on irregularly contoured body areas. Randomized studies addressing scar quality are needed to open new perspectives on the potential benefits of hydrosurgical burn wound debridement.

AB - INTRODUCTION: During the last decade, the Versajet™ hydrosurgery system has become popular as a tool for tangential excision in burn surgery. Although hydrosurgery is thought to be a more precise and controlled manner for burn debridement prior to skin grafting, burn specialists decide individually whether hydrosurgery should be applied in a specific patient or not. The aim of this study was to gain insight in which patients hydrosurgery is used in specialized burn care in the Netherlands.METHODS: A retrospective study was conducted in all patients admitted to a Dutch burn centre between 2009 and 2016. All patients with burns that underwent surgical debridement were included. Data were collected using the national Dutch Burn Repository R3.RESULTS: Data of 2113 eligible patients were assessed. These patients were treated with hydrosurgical debridement (23.9%), conventional debridement (47.7%) or a combination of these techniques (28.3%). Independent predictors for the use of hydrosurgery were a younger age, scalds, a larger percentage of total body surface area (TBSA) burned, head and neck burns and arm burns. Differences in surgical management and clinical outcome were found between the three groups.CONCLUSION: The use of hydrosurgery for burn wound debridement prior to skin grafting is substantial. Independent predictors for the use of hydrosurgery were mainly burn related and consisted of a younger age, scalds, a larger TBSA burned, and burns on irregularly contoured body areas. Randomized studies addressing scar quality are needed to open new perspectives on the potential benefits of hydrosurgical burn wound debridement.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/30322740

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