Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement
Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement
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DOI：
10.1111/j.1743-6109.2006.00136.x
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发表时间：
2006-07-01
影响因子：
2.9
通讯作者：
Datiashvili, Ramazi O.
中科院分区：
文献类型：
--
作者：
Granick, Mark S.;Posnett, John;Datiashvili, Ramazi O.
目前的伤口愈合概念承认伤口床准备在实现具有良好愈合潜力的伤口中的重要作用。创面准备的关键是清除坏死、不健康组织、异物和感染。伤口床准备的公认方法之一是手术。高功率平行水射流是一种新型外科器械，它允许操作者非常精确地去除不需要的组织和碎片，同时最大限度地保留活组织。进行了一项回顾性研究，以评价使用这种手术清创技术的有效性、安全性和经济影响。将40名接受水射流清创术的患者与22名接受传统手术清创术的匹配伤口患者进行比较。水射流组的手术次数明显少于传统组（p < 0.002）。根据这些结果，在适当的患者中使用新设备预计将为每位患者节省约1，900美元的成本。
Current concepts of wound healing acknowledge the essential role of wound bed preparation in achieving a wound with good healing potential. Critical to wound bed preparation is the removal of necrosis, unhealthy tissue, foreign matter, and infection. One of the accepted methods of wound bed preparation is surgery. The high-power parallel waterjet is a new surgical device, which allows the operator to remove very precisely undesirable tissue and debris with maximal preservation of viable tissue. A retrospective study was performed to evaluate the efficacy, safety, and economic impact of using this technique of surgical debridement. Forty patients who had waterjet debridements were compared with 22 patients with matched wounds who had conventional surgical debridement. The waterjet group had significantly fewer procedures (p < 0.002) than the conventional group. Based on these outcomes, the use of the new device in appropriate patients is expected to lead to cost savings of approximately $1,900 per patient.