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DOI: 10.5999/aps.2019.00745
Preparation of harvested skin using the Versajet Hydrosurgery System in full-thickness skin grafts
This article was presented as a poster at the 9th Research and Reconstruction Forum on May 9–10, 2019, in Gwangju, Korea.During a full-thickness skin graft procedure, the thickness of the harvested donor skin is adjusted based on the location of the recipient site and the judgment of the surgeon. Conventionally, the thickness of the harvested skin is roughly adjusted using surgical instruments such as scalpels and scissors. However, this method is not only time-consuming, but also requires effort to obtain both the desired thickness of the harvested skin and a smooth surface of that skin. Moreover, there is a possibility of skin perforation. Hence, the authors devised a method of adjusting harvested skin thickness using the Versajet Hydrosurgery System. The Versajet device is a handheld hydrosurgical tool that delivers a high-speed jet stream of saline solution, which enables the precise debridement of tissue. This method makes it easier and faster for the surgeon to obtain the desired thickness of harvested skin. In addition, by obtaining a smooth surface and an even thickness of harvested donor skin, this technique may lead to improved graft viability.
Publication History
Received: 15 June 2019
Accepted: 19 September 2019
Article published online:
25 March 2022
© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Audrain H, Bray A, De Berker D. Full-thickness skin grafts for lower leg defects: an effective repair option. Dermatol Surg 2015; 41: 493-8
- 2 Gravante G, Delogu D, Esposito G. et al. Versajet hydrosurgery versus classic escharectomy for burn débridment: a prospective randomized trial. J Burn Care Res 2007; 28: 720-4
- 3 Pu LL, Coleman SR, Cui X. et al. Autologous fat grafts harvested and refined by the Coleman technique: a comparative study. Plast Reconstr Surg 2008; 122: 932-7
- 4 Klein MB, Hunter S, Heimbach DM. et al. The Versajet water dissector: a new tool for tangential excision. J Burn Care Rehabil 2005; 26: 483-7
- 5 Bekara F, Vitse J, Fluieraru S. et al. New techniques for wound management: a systematic review of their role in the management of chronic wounds. Arch Plast Surg 2018; 45: 102-10
- 6 Granick MS, Posnett J, Jacoby M. et al. Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement. Wound Repair Regen 2006; 14: 394-7
- 7 Bibbo C. VERSAJET hydrosurgery technique for the preparation of full thickness skin grafts and the creation of retrograde split thickness skin grafts. J Foot Ankle Surg 2010; 49: 404-7
- 8 Hong CC, Nather A, Lee JK. et al. Hydrosurgery is effective for debridement of diabetic foot wounds. Ann Acad Med Singapore 2014; 43: 395-9
- 9 Kakagia DD, Karadimas EJ. The efficacy of VersajetTM hydrosurgery system in burn surgery: a systematic review. J Burn Care Res 2018; 39: 188-200
- 10 Legemate CM, Goei H, Gostelie OF. et al. Application of hydrosurgery for burn wound debridement: an 8-year cohort analysis. Burns 2019; 45: 88-96
- 11 Oh SH, Song SH, Kyung H. et al. VersaJet Hydrosurgery System: an effective device for flap deepithelialization. J Craniofac Surg 2014; 25: e390-2