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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Pan Xuanliang,Chen Jiong,Han Chunmao,et al.Application effects of the hydrosurgical debridement system in ex vivo porcine burn skin models of eschar excision and debridement[J].Chin J Burns Wounds,2026,42(8):1-6.DOI: 10.3760/cma.j.cn501225-20250327-00146.
Citation: Pan Xuanliang,Chen Jiong,Han Chunmao,et al.Application effects of the hydrosurgical debridement system in ex vivo porcine burn skin models of eschar excision and debridement[J].Chin J Burns Wounds,2026,42(8):1-6.DOI: 10.3760/cma.j.cn501225-20250327-00146.
shu

Application effects of the hydrosurgical debridement system in ex vivo porcine burn skin models of eschar excision and debridement

doi: 10.3760/cma.j.cn501225-20250327-00146
  • 1.

    Department of Burn and Wound Repair, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China

  • 2.

    Longquan Industrial Innovation Research Institute, Longquan 323700, China

  • 3.

    Department of Burn and Skin Repair Surgery, the Third Affiliated Hospital of Wenzhou Medical University, Ruian 325200, China

Funds:

Young Scientists Fund of National Natural Science Foundation of China 82402900

More Information
  • Corresponding author: Chen Jiong, Email: 2008chenjiong@163.com
  • Received Date: 2025-03-27
    Available Online: 2026-08-13
    Abstract
  •   Objective  To investigate the application effects of the hydrosurgical debridement system (hereinafter referred to as the water jet) in ex vivo porcine burn skin models of eschar excision and debridement.  Methods  This was a grouped basic research study.Twenty-three young physicians (20 males, 3 females, aged 30-43 years) participated in the 2024 Zhejiang Provincial Burn Surgery Skills Competition. Each physician performed eschar excision and debridement procedures using both the water jet and conventional instruments (a dermatome and a scalpel) in ex vivo porcine burn skin models of early-stage eschar excision and late-stage debridement of liquefied eschar (each measuring 12 cm×8 cm). The operation time (assessing speed) and weight of removed tissue (assessing precision) were recorded for both techniques in both procedures.  Results  In escharectomy procedures, the operative time of the water jet (122 (96, 145) s) showed no significant difference compared with conventional instruments (125 (56, 233) s), P>0.05; however, the tissue removal weight of the water jet (2.88±0.27) g was significantly less than (13.81±1.93) g of conventional instruments (P<0.05). In debridement procedures, the operative time of the water jet (121±9) s was significantly shorter than (368±33) s of conventional instruments (P<0.05); however, the tissue removal weight of the water jet (30.85±1.98) g was significantly greater than (21.48±1.45) g of conventional instruments (P<0.05).  Conclusions  Compared with conventional instruments, the water jet can remove necrotic tissue in ex vivo porcine burn skin more precisely and reduce damage to healthy tissue in early-stage eschar excision; however, in late-stage debridement of liquefied eschar, although it significantly improves debridement speed, it may remove excessive normal tissue.

     

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    • References(35)
  • [1]
    陈宾, 汤文彬, 李孝建, 等. 危重烧伤并发术后心房颤动患者的临床特征及其危险因素分析[J].中华烧伤与创面修复杂志,2022,38(5):408-414. DOI: 10.3760/cma.j.cn501225-20220214-00026.
    [2]
    段德庆, 陈永, 邓鸿敖, 等. 大面积烧伤患者输血情况的多中心回顾及影响因素分析[J].中华烧伤与创面修复杂志,2023,39(11):1047-1056. DOI: 10.3760/cma.j.cn501225-20230417-00128.
    [3]
    KokoskaRE, SzetoMD, SivesindTE, et al. From the cochrane library: hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns[J]. JMIR Dermatol, 2022,5(2):e37030. DOI: 10.2196/37030.
    [4]
    MarinescuEA, NegrilăAA, MarinescuRA, et al. Burn debridment-approach and review[J]. Curr Health Sci J, 2025,51(1):5-13. DOI: 10.12865/CHSJ.51.01.01.
    [5]
    尹希, 徐欢, 郑小鹏, 等. 水刀精准清创结合负压渐退法治疗坏死性筋膜炎的疗效观察[J].组织工程与重建外科杂志,2021,17(5):386-389. DOI: 10.3969/j.issn.1673-0364.2021.05.004.
    [6]
    BerajaGE, GruzmarkF, PastarI, et al. What's new in wound healing: treatment advances and microbial insights[J]. Am J Clin Dermatol, 2025,26(5):677-694. DOI: 10.1007/s40257-025-00953-9.
    [7]
    刘淑岩, 赵宇辉, 刘铁成, 等. 水刀与削痂清创治疗中等面积深Ⅱ度烧伤创面的效果对比[J].中华实验外科杂志,2023,40(5):916. DOI: 10.3760/cma.j.cn421213-20221129-00862.
    [8]
    GravanteG, DeloguD, EspositoG, et al. Versajet hydrosurgery versus classic escharectomy for burn débridment: a prospective randomized trial[J]. J Burn Care Res, 2007,28(5):720-724. DOI: 10.1097/BCR.0B013E318148C9BD.
    [9]
    ScaliseA, PauA, LiciniC, et al. Use of hydrosurgical debridement system for silicone gel removal after breast implant rupture[J]. Plast Reconstr Surg Glob Open, 2024,12(6):e5862. DOI: 10.1097/GOX.0000000000005862.
    [10]
    XuX, WangR, WuH, et al. Hydrosurgical debridement system combined with negative pressure wound therapy for the treatment of large chronic wounds caused by polyacrylamide hydrogel injection for breast augmentation[J]. Wounds, 2026,38(2):20-24. DOI: 10.25270/wnds/25003.
    [11]
    王磊,蔡玉辉,胡克苏,等. 水动力清创系统用于深Ⅱ度烧伤创面治疗临床疗效的回顾性研究[J/OL]. 中华损伤与修复杂志(电子版),2021,16(3):245-250. https://rs.yiigle.com/cmaid/1555194. DOI: 10.3877/cma.j.issn.1673-9450.2021.03.014.
    [12]
    TangXD, QiuL, WangF, et al. Safety and efficacy of waterjet debridement vs. conventional debridement in the treatment of extremely severe burns: a retrospective analysis[J]. Burns, 2023,49(8):1926-1934. DOI: 10.1016/j.burns.2023.06.004.
    [13]
    陈宏泽, 刘晟, 陈旭林. 水动力清创系统在大面积深Ⅱ度烧伤创面清创中的应用效果[J/OL].中华损伤与修复杂志(电子版),2024,19(4):314-318. https://rs.yiigle.com/cmaid/1555473. DOI: 10.3877/cma.j.issn.1673-9450.2024.04.007.
    [14]
    JiangY, ZhouP, LiuAY, et al. Efficacy of hydrosurgical eschar excision following MEEK microskin grafting in patients with massive burns: a retrospective study of a single center[J]. Burns, 2024,50(5):1223-1231. DOI: 10.1016/j.burns.2024.02.027.
    [15]
    何泽亮, 李锦, 随振阳, 等. 超声清创法在烧伤残余创面中的应用及其临床疗效[J].中华烧伤与创面修复杂志,2022,38(11):1034-1039. DOI: 10.3760/cma.j.cn501120-20211123-00396.
    [16]
    中华医学会烧伤外科学分会, 海峡两岸医药卫生交流协会暨烧创伤组织修复专委会. Ⅱ度烧伤创面治疗专家共识(2024版)Ⅱ:手术治疗和感染防治[J].中华烧伤与创面修复杂志,2024,40(2):101-118. DOI: 10.3760/cma.j.cn501225-20240112-00015.
    [17]
    官浩, 张栋梁. 烧伤与创面修复外科诊疗中的多学科融合:现状与挑战及未来[J].中华烧伤与创面修复杂志,2025,41(11):1050-1056. DOI: 10.3760/cma.j.cn501225-20250901-00379.
    [18]
    吴首臣, 王大鹏, 随永敏. 削痂植皮术联合负压封闭引流、纳米银医用抗菌敷料治疗深度烧伤的临床效果[J].组织工程与重建外科杂志,2025,21(5):479-485. DOI: 10.3969/j.issn.1673-0364.2025.05.011.
    [19]
    李梦芸, 毛远桂, 郭光华, 等. 水动力清创系统在各类烧伤创面清创手术中的应用[J].中华烧伤杂志,2016,32(9):574-576. DOI: 10.3760/cma.j.issn.1009-2587.2016.09.014.
    [20]
    WormaldJC, WadeRG, DunneJA, et al. Hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns[J]. Cochrane Database Syst Rev, 2020,9:CD012826. DOI: 10.1002/14651858.CD012826.pub2.
    [21]
    de Cesaro SchpchackiN, LamasFM, FabrisFR, et al. Efficacy and safety of hydrosurgical debridement compared with conventional excision in thermal burns: a systematic review and meta-analysis[J]. Wound Repair Regen, 2026,34(3):e70178. DOI: 10.1111/wrr.70178.
    [22]
    ZieglerB, FischerS, PieperD, et al. Evidence and trends in burn wound debridement: an evidence map[J]. Plast Surg (Oakv), 2020,28(4):232-242. DOI: 10.1177/2292550320928553.
    [23]
    ZhangC, LiZ, ZhangQ, et al. Application of minimally invasive debridement for deep second-degree facial burns in the early postburn phase[J]. BMC Surg, 2025,25(1):17. DOI: 10.1186/s12893-024-02678-8.
    [24]
    LegemateCM, KwaK, GoeiH, et al. Hydrosurgical and conventional debridement of burns: randomized clinical trial[J]. Br J Surg, 2022,109(4):332-339. DOI: 10.1093/bjs/znab470.
    [25]
    梁艳, 石文, 邵阳, 等. 早期清创保守去痂后外覆脱细胞真皮基质治疗小儿深度烧伤的效果[J].中华烧伤与创面修复杂志,2024,40(4):348-357. DOI: 10.3760/cma.j.cn501225-20230720-00010.
    [26]
    刘功成, 阚朝辉, 盛嘉隽, 等. 水动力清创系统在严重烧伤患者大面积残余创面清创中的应用效果[J].中华烧伤杂志,2016,32(9):549-554. DOI: 10.3760/cma.j.issn.1009-2587.2016.09.008.
    [27]
    项俊, 吴红. 水动力清创系统对大面积烧伤残余创面愈合及炎症因子的影响[J].中国美容医学,2021,30(10):25-28.
    [28]
    张彩云水动力清创系统在大面积烧伤残余创面治疗中的临床疗效观察石家庄河北医科大学2024

    张彩云. 水动力清创系统在大面积烧伤残余创面治疗中的临床疗效观察[D]. 石家庄:河北医科大学,2024.
    [29]
    赵建磊, 赵婧琦, 刘唱, 等. 水动力清创治疗烧伤的效果:随机对照试验的系统评价[J].上海交通大学学报(医学版),2025,45(5):614-623. DOI: 10.3969/j.issn.1674-8115.2025.05.010.
    [30]
    LiuJ, KoJH, SecretovE, et al. Comparing the hydrosurgery system to conventional debridement techniques for the treatment of delayed healing wounds: a prospective, randomised clinical trial to investigate clinical efficacy and cost-effectiveness[J]. Int Wound J, 2015,12(4):456-461. DOI: 10.1111/iwj.12137.
    [31]
    BekaraF, VitseJ, FluieraruS, et al. New techniques for wound management: a systematic review of their role in the management of chronic wounds[J]. Arch Plast Surg, 2018,45(2):102-110. DOI: 10.5999/aps.2016.02019.
    [32]
    ShimadaK, OjimaY, IdaY, et al. Efficacy of Versajet hydrosurgery system in chronic wounds: a systematic review[J]. Int Wound J, 2021,18(3):269-278. DOI: 10.1111/iwj.13528.
    [33]
    YuanM, YinM, ZhangL, et al. Selective debridement of burn wounds using hydrosurgery system[J]. Int Wound J, 2020,17(2):300-309. DOI: 10.1111/iwj.13270.
    [34]
    CaoYL, LiuZC, ChenXL. Efficacy of hydrosurgical excision combined with skin grafting in the treatment of deep partial-thickness and full-thickness burns: a two-year retrospective study[J]. Burns, 2023,49(5):1087-1095. DOI: 10.1016/j.burns.2022.07.012.
    [35]
    章磊, 季易, 沈卫民. 水刀清创系统加反植皮术负压封闭治疗儿童重度污染性皮肤撕脱伤[J].中华小儿外科杂志,2023,44(3):248-251. DOI: 10.3760/cma.j.cn421158-20211029-00518.
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