{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T19:17:54Z","timestamp":1788895074022,"version":"build-2803163510"},"reference-count":33,"publisher":"Mark Allen Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2017,10,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p>Hydrosurgical debridement allows removal of non-viable tissue, preserving healthy tissues. This study was designed to analyse whether hydrosurgery, used in a clinical wounds unit, is an effective and safe method that may reduce debridement time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>Patients' wounds had the following characteristics: wounds with devitalised tissue needing rapid debridement, wounds with cavities, or non-healing wounds. Hydrosurgical debridement uses a pressurised stream of saline (0.9% sodium chloride) and a vacuum around this stream to remove the devitalised tissue of the wound, preserving healthy surrounding tissues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>This prospective study comprised of 53 wounds from 39 patients. The wound aetiology included 39.7% arterial insufficiency, 22.6% pressure ulcers (PUs), 15.1% diabetic foot ulcers (DFUs), 9.4% venous leg ulcers (VLUs), and 13.2% from other aetiologies. The percentage of wounds according the size was the following: 32.1% (&lt;10cm<jats:sup>2<\/jats:sup>), 43.4% (10\u201349cm<jats:sup>2<\/jats:sup>), 15.1% (50\u201399cm<jats:sup>2<\/jats:sup>), and 9.4% (\u2265100cm<jats:sup>2<\/jats:sup>). Superficial wounds were 43.4% of the total and 56.6% of wounds had cavities. Pain associated with the hydrosurgery was mild to moderate. There were no hydrosurgery-related adverse events. For effective debridement, the required sessions were as follows: one procedure (73.6%), two procedures (18.9%) and three procedures (7.5%). There was a statistical significant direct correlation (r=0.307) between the number of required sessions and wound size. All patients improved in a week (&gt;80% of granulation tissue).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>We demonstrate that hydrosurgery is an effective and rapid debridement method that can be used safely in the outpatient setting.<\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2017.26.10.593","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T17:26:04Z","timestamp":1507137964000},"page":"593-599","source":"Crossref","is-referenced-by-count":19,"title":["Hydrosurgery as a safe and efficient debridement method in a clinical wound unit"],"prefix":"10.12968","volume":"26","author":[{"given":"M.","family":"Ferrer-Sola","sequence":"first","affiliation":[{"name":"The Tissue Repair and Regeneration Laboratory, University of Vic-Central University of Catalonia, Vic, Barcelona, Spain; Hospital Universitari de la Santa Creu de Vic, Wound Unit, Vic, Barcelona, 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