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.
European Journal of Plastic Surgery – Springer Journals
Published: Aug 1, 2008
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