{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:19:16Z","timestamp":1789676356005,"version":"4.0.1"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:00:00Z","timestamp":1616457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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\u2010acute wounds. This PROSPERO\u2010registered review was performed following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses 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\u2010randomised Studies. Two prospective randomised controlled trials, two retrospective comparative studies, and three prospective non\u2010comparative studies were included. Hydrosurgery enabled rapid debridement. The Versajet Hydrosurgery System saved 8.87\u2009minutes 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\u2010effectiveness. 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.<\/jats:p>","DOI":"10.1111\/iwj.13528","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T01:48:59Z","timestamp":1616550539000},"page":"269-278","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Efficacy of Versajet hydrosurgery system in chronic wounds: A systematic review"],"prefix":"10.1111","volume":"18","author":[{"given":"Kazuki","family":"Shimada","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Tokyo Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Ojima","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Tokyo Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukiko","family":"Ida","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Tokyo Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Tokyo Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2004.13.Sup3.15546"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2006.00280.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2016.25.Sup3.S7"},{"issue":"8","key":"e_1_2_9_5_1","first-page":"229","article-title":"Evidence of intensive autolytic debridement with a self\u2010adaptive wound dressing","volume":"27","author":"Reyzelman AM","year":"2015","journal-title":"Wounds"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2013.08.013"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000197700.19826.db"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.2.128"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.Sup5.S30"},{"key":"e_1_2_9_10_1","unstructured":"https:\/\/training.cochrane.org\/online\u2010learning\/core\u2010software\u2010cochrane\u2010reviews\/revman. 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