The Versatility of Usage of Hydrosurgical Debridement in Major Burns

Abstract

Burn wound debridement is an important step in management of major burns. There are several techniques of burn wound debridement include surgical, enzymatic, mechanical and autolytic. Hydrosurgical system is an additional type of debridement that preserve viable tissues, create smooth wound bed and decrease bacterial load. This study is a prospective and comparative that compared traditional surgical debridement versus hydrosurgical debridement of major burns. This study was conducted between December 2020 to December 2021 at 2 major burn centers in Egypt (Burn unit of Ain Shams University hospital and Armed Forces Burn Center at El Helmia Armed Forces Hospital). Twenty patients with mixed depth of major burns were divided into two groups. In group I (n=10) debridement done surgically by Watson knife. In group II (n=10) debridement done by hydrosurgical system. In this study, adults of both sex (18-45) years were included. Also, the study includes mixed pattern burn with total body surface area (TBSA) (20-30%) of any burn etiology. Patients less than 18 years and more than 45 years were not included in the study. TBSA less than 20% or more than 30 were also excluded. Also, we exclude patients with comorbid disease.