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. 2021 Jun;18(3):269-278.
doi: 10.1111/iwj.13528. Epub 2021 Mar 23.

Efficacy of Versajet hydrosurgery system in chronic wounds: A systematic review

Kazuki Shimada  1 , Yosuke Ojima  1 , Yukiko Ida  1 , Hajime Matsumura  1
Affiliations

Efficacy of Versajet hydrosurgery system in chronic wounds: A systematic review

Kazuki Shimada et al. Int Wound J. 2021 Jun.

Abstract

Studies demonstrating the effectiveness of hydrosurgery for chronic wounds are extremely limited. This systematic review aimed to evaluate the efficacy of hydrosurgery compared with conventional debridement in chronic wounds, skin ulcers, and non-acute wounds. This PROSPERO-registered review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. A systematic search was performed in PubMed, Scopus, and Cochrane Library databases. Abstracts of all studies were screened independently by two reviewers. The bias of prospective randomised controlled studies was assessed using the Cochrane Collaboration's tool for assessing the risk of bias and RevMan 5.4 software, whereas the bias of retrospective comparative studies was evaluated using the Risk of Bias Assessment Tool for Non-randomised Studies. Two prospective randomised controlled trials, two retrospective comparative studies, and three prospective non-comparative studies were included. Hydrosurgery enabled rapid debridement. The Versajet Hydrosurgery System saved 8.87 minutes compared with the conventional methods. Similarly, the debridement quality was high with this system. The debridement number needed to achieve adequate wound beds was fewer in the hydrosurgery group than in the conventional group. These superiorities lead to subsequent success and cost-effectiveness. As there were only two prospective randomised controlled studies, and much information was missing, the risk of bias was unclear. This review confirmed that hydrosurgery is useful for the debridement of chronic wounds, considering the procedural speed and quality.

Keywords: Versajet; chronic wound; debridement; hydrosurgery; systematic review.

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Conflict of interest statement

All authors declare that there is no conflict of interest regarding this research.

Figures

FIGURE 1
FIGURE 1
The preferred reporting items for systematic reviews and meta‐analyses flow diagram adopted for the final selection of studies included in the review
FIGURE 2
FIGURE 2
Forest plot of the debridement procedure time. CI, confidence interval
FIGURE 3
FIGURE 3
Risk of bias summary of the prospective randomised controlled studies
FIGURE 4
FIGURE 4
Risk of bias assessment tool for non‐randomised studies
FIGURE 5
FIGURE 5
Methodological quality case series evaluation
See this image and copyright information in PMC

References

    1. Dowsett C, Ayello E. TIME principles of chronic wound bed preparation and treatment. Br J Nurs. 2004;13(15):S16‐S23. - PubMed
    1. Ligresti C, Bo F. Wound bed preparation of difficult wounds: an evolution of the principles of TIME. Int Wound J. 2007;4(1):21‐29. - PMC - PubMed
    1. Pilcher M. Wound cleansing: a key player in the implementation of the TIME paradigm. J Wound Care. 2016;25(3 Suppl):S7‐S9. - PubMed
    1. Reyzelman AM, Vartivarian M. Evidence of intensive autolytic debridement with a self‐adaptive wound dressing. Wounds. 2015;27(8):229‐235. - PubMed
    1. Rosenberg L, Krieger Y, Bogdanov‐Berezovski A, Silberstein E, Shoham Y, Singer AJ. A novel rapid and selective enzymatic debridement agent for burn wound management: a multi‐center RCT. Burns. 2014;40(3):466‐474. - PubMed

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