Email Alerts
RSS
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Wound Repair Professional Committee of Chinese Medical Doctor Association.Expert consensus on the application of the hydrosurgery system in wound debridement (2026 edition)[J].Chin J Burns Wounds,2026,42(9):1-10.DOI: 10.3760/cma.j.cn501225-20260211-00078.
Citation: Wound Repair Professional Committee of Chinese Medical Doctor Association.Expert consensus on the application of the hydrosurgery system in wound debridement (2026 edition)[J].Chin J Burns Wounds,2026,42(9):1-10.DOI: 10.3760/cma.j.cn501225-20260211-00078.
shu

Expert consensus on the application of the hydrosurgery system in wound debridement (2026 edition)

doi: 10.3760/cma.j.cn501225-20260211-00078
Funds:

Chongqing Clinical Key Specialty Construction Project 524Z2M71

Chongqing Medical Leading Talent Project YXLJ202414

  • Received Date: 2026-02-11
    Available Online: 2026-08-31
    Abstract
  • As a novel surgical debridement device, the hydrosurgery system has significant clinical value in facilitating wound healing and optimizing wound bed preparation. Compared with conventional surgical debridement, the hydrosurgery system possesses prominent advantages, including high tissue selectivity, favorable safety profile, and precise debridement performance, which has contributed to its expanded application in wound management. However, there is a lack of consensus regarding the rational application, key operational essentials, as well as accurate identification of indications and contraindications or relative contraindications for this system. Accordingly, the Wound Repair Professional Committee of Chinese Medical Doctor Association assembled renowned experts in the fields of burn, trauma, and wound repair in China. Based on evidence-based medical evidence, combined with domestic and international research advances and clinical practice experience, the committee formulated the Expert consensus on the application of the hydrosurgery system in wound debridement (2026 edition) to provide references for the clinical use of the hydrosurgery system.

     

    • Zhang Jiaping, Department of Plastic Surgery, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), State Key Laboratory of Trauma and Chemical Poisoning, Chongqing 400038, China, Email: japzhang@tmmu.edu.cnHuang Yuesheng, Institute of Wound Repair and Regenerative Medicine, School of Medicine, Southern University of Science and Technology, Shenzhen 518055, China, Email: yshuang1958@163.com
    FullText(HTML)
  • loading
    • References(47)
  • [1]
    DuteilleF,PerrotP.Management of 2nd-degree facial burns using the Versajet® hydrosurgery system and xenograft: a prospective evaluation of 20 cases[J].Burns,2012,38(5):724-729.DOI: 10.1016/j.burns.2011.12.008.
    [2]
    MatsumuraH,NozakiM,WatanabeK,et al.The estimation of tissue loss during tangential hydrosurgical debridement[J].Ann Plast Surg,2012,69(5):521-525.DOI: 10.1097/SAP.0b013e31826d2961.
    [3]
    FraccalvieriM, SerraR, RukaE, et al. Surgical debridement with VERSAJET: an analysis of bacteria load of the wound bed pre- and post-treatment and skin graft taken. A preliminary pilot study [J]. Int Wound J, 2011, 8(2): 155-161. DOI: 10.1111/j.1742-481X.2010.00762.x.
    [4]
    MostiG,IabichellaML,PicerniP,et al.The debridement of hard to heal leg ulcers by means of a new device based on Fluidjet technology[J].Int Wound J,2005,2(4):307-314.DOI: 10.1111/j.1742-4801.2005.00147.x.
    [5]
    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.
    [6]
    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):10.DOI: 10.3969/j.issn.1674-8115.2025.05.010.
    [7]
    CubisonTC,PapeSA,JefferySL.Dermal preservation using the Versajet hydrosurgery system for debridement of paediatric burns[J].Burns,2006,32(6):714-720.DOI: 10.1016/j.burns.2006.01.023.
    [8]
    OrgillDP.Excision and skin grafting of thermal burns[J].N Engl J Med,2009,360(9):893-901.DOI: 10.1056/NEJMct0804451.
    [9]
    OngYS,SamuelM,SongC.Meta-analysis of early excision of burns[J].Burns,2006,32(2):145-150.DOI: 10.1016/j.burns.2005.09.005.
    [10]
    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.
    [11]
    GranickM, BoykinJ, GamelliR, et al. Toward a common language: surgical wound bed preparation and debridement [J]. Wound Repair Regen, 2006, 14Suppl 1: S1-10. DOI: 10.1111/j.1743-6109.2005.00096.x.
    [12]
    HylandEJ,D'CruzR,MenonS,et al.Prospective, randomised controlled trial comparing VersajetTM hydrosurgery and conventional debridement of partial thickness paediatric burns[J].Burns,2015,41(4):700-707.DOI: 10.1016/j.burns.2015.02.001.
    [13]
    TenenhausM, BhavsarD, RennekampffHO. Treatment of deep partial thickness and indeterminate depth facial burn wounds with water-jet debridement and a biosynthetic dressing[J]. Injury, 2007, 38Suppl 5: S39-45. DOI: 10.1016/j.injury.2007.10.039.
    [14]
    RennekampffHO,SchallerHE,WisserD,et al.Debridement of burn wounds with a water jet surgical tool[J].Burns,2006,32(1):64-69.DOI: 10.1016/j.burns.2005.07.010.
    [15]
    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.
    [16]
    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.
    [17]
    KimbleRM,MottJ,JoethyJ.Versajet hydrosurgery system for the debridement of paediatric burns[J].Burns,2008,34(2):297-298; author reply 299.DOI: 10.1016/j.burns.2007.08.018.
    [18]
    KwaK,GoeiH,BreederveldRS,et al.A systematic review on surgical and nonsurgical debridement techniques of burn wounds[J].J Plast Reconstr Aesthet Surg,2019,72(11):1752-1762.DOI: 10.1016/j.bjps.2019.07.006.
    [19]
    LegemateCM,GoeiH,GostelieO,et al.Application of hydrosurgery for burn wound debridement: an 8-year cohort analysis[J].Burns,2019,45(1):88-96.DOI: 10.1016/j.burns.2018.08.015.
    [20]
    GurunluogluR.Experiences with waterjet hydrosurgery system in wound debridement[J].World J Emerg Surg,2007,2:10.DOI: 10.1186/1749-7922-2-10.
    [21]
    VanwijckR,KabaL,BolandS,et al.Immediate skin grafting of sub-acute and chronic wounds debrided by hydrosurgery[J].J Plast Reconstr Aesthet Surg,2010,63(3):544-549.DOI: 10.1016/j.bjps.2008.11.097.
    [22]
    Ferrer-SolaM, Sureda-VidalH, Altimiras-RosetJ, et al. Hydrosurgery as a safe and efficient debridement method in a clinical wound unit[J]. J Wound Care, 2017, 26(10): 593-599. DOI: 10.12968/jowc.2017.26.10.593.
    [23]
    SchultzGS, BarilloDJ, MozingoDW, et al. Wound bed preparation and a brief history of TIME[J]. Int Wound J, 2004, 1(1): 19-32. DOI: 10.1111/j.1742-481x.2004.00008.x.
    [24]
    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.
    [25]
    CaputoWJ,BeggsDJ,DeFedeJL,et al.A prospective randomised controlled clinical trial comparing hydrosurgery debridement with conventional surgical debridement in lower extremity ulcers[J].Int Wound J,2008,5(2):288-294.DOI: 10.1111/j.1742-481X.2007.00490.x.
    [26]
    HongCC,NatherA,LeeJK,et al.Hydrosurgery is effective for debridement of diabetic foot wounds[J].Ann Acad Med Singap,2014,43(8):395-399.
    [27]
    GranickMS,PosnettJ,JacobyM,et al.Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement[J].Wound Repair Regen,2006,14(4):394-397.DOI: 10.1111/j.1743-6109.2006.00136.x.
    [28]
    GriffinB,BairagiA,JonesL,et al.Early non-excisional debridement of paediatric burns under general anaesthesia reduces time to re-epithelialisation and risk of skin graft[J].Sci Rep,2021,11(1):23753.DOI: 10.1038/s41598-021-03141-x.
    [29]
    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.
    [30]
    LigrestiC,BoF.Wound bed preparation of difficult wounds: an evolution of the principles of TIME[J].Int Wound J,2007,4(1):21-29.DOI: 10.1111/j.1742-481X.2006.00280.x.
    [31]
    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.
    [32]
    RashaanZM, KrijnenP, AllemaJH, et al. Usability and effectiveness of Suprathel® in partial thickness burns in children [J]. Eur J Trauma Emerg Surg, 2017, 43(4): 549-556. DOI: 10.1007/s00068-016-0708-z.
    [33]
    ProhaskaJ, CookC. Skin grafting[M]. Treasure Island (FL): StatPearls Publishing, 2023.
    [34]
    BibboC. VERSAJET hydrosurgery technique for the preparation of full thickness skin grafts and the creation of retrograde split thickness skin grafts[J].J Foot Ankle Surg, 2010, 49(4): 404-407. DOI: 10.1053/j.jfas.2010.04.013.
    [35]
    ChoiSG,ShinHW,YoonKC.Preparation of harvested skin using the Versajet hydrosurgery system in full-thickness skin grafts[J].Arch Plast Surg,2019,46(6):603-607.DOI: 10.5999/aps.2019.00745.
    [36]
    SiemersF,MaussKL,LiodakiE,et al.Accidental inclusions following blast injury in esthetical zones: ablation by a hydrosurgery system[J].Eplasty,2012,12:e33.
    [37]
    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):4.DOI: 10.3760/cma.j.cn421158-20211029-00518.
    [38]
    VrintsI,Den HondtM,Van BrusselM,et al.Immediate debridement of road rash injuries with Versajet® hydrosurgery: traumatic tattoo prevention?[J].Aesthetic Plast Surg,2014,38(2):467-470.DOI: 10.1007/s00266-014-0290-x.
    [39]
    SoongM,SchmidtS.Acute contaminated open forearm fractures treated with VersaJet hydrosurgical débridement[J].J Orthop Trauma,2010,24(7):e66-68.DOI: 10.1097/BOT.0b013e3181ca48f2.
    [40]
    ChammasMF, GurunluogluR, CarlsenSN, et al. Surgical debridement of mineral pitch and nonviable penile tissue using water-jet power: a preliminary report [J]. BJU Int, 2009, 103(7): 974-976. DOI: 10.1111/j.1464-410X.2008.08209.x.
    [41]
    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.
    [42]
    MohammadiAA,Seyed JafariSM,KiasatM,et al.Efficacy of debridement and wound cleansing with 2% hydrogen peroxide on graft take in the chronic-colonized burn wounds; a randomized controlled clinical trial[J].Burns,2013,39(6):1131-1136.DOI: 10.1016/j.burns.2013.01.019.
    [43]
    IrkorenS,SivriogluN.A hydrosurgery system (Versajet) with and without hydrogen peroxide solutions for the debridement of subacute and chronic wounds: a comparative study with hydrodebridement[J].Adv Skin Wound Care,2014,27(3):127-131.DOI: 10.1097/01.ASW.0000443898.56886.66.
    [44]
    SönnergrenHH,StrömbeckL,AldenborgF,et al.Aerosolized spread of bacteria and reduction of bacterial wound contamination with three different methods of surgical wound debridement: a pilot study[J].J Hosp Infect,2013,85(2):112-117.DOI: 10.1016/j.jhin.2013.05.011.
    [45]
    MaragakisLL,CosgroveSE,SongX,et al.An outbreak of multidrug-resistant Acinetobacter baumannii associated with pulsatile lavage wound treatment[J].JAMA,2004,292(24):3006-3011.DOI: 10.1001/jama.292.24.3006.
    [46]
    PutzerD,LechnerR,Coraca-HuberD,et al.The extent of environmental and body contamination through aerosols by hydro-surgical debridement in the lumbar spine[J].Arch Orthop Trauma Surg,2017,137(6):743-747.DOI: 10.1007/s00402-017-2668-0.
    [47]
    弓辰,吕开阳,王光毅,等. 水动力清创系统在烧伤创面中的应用[J]. 中华烧伤杂志,2015,31(6):470-472. DOI: 10.3760/cma.j.issn.1009-2587.2015.06.024.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (57) PDF downloads(15) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return