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TÜRKÇE
Poster - 207
Experience with Versajet Hydrosurgery for Burn Debridement in Children: A Case Series
Samia Belhassen 1, Afef Toumi 1, Sana Mosbahi 1, Syrine Laribi 1, Amine Ksia 1, Mongi Ksia 1, Imed Krichene 1, Sawsen Chakroun 2, Maha Ben Mansour 2, Mohsen Belghith 1, Lassaad Sahnoun 1
1 Pediatric surgery department, Fattouma Bourguiba Hospital.
2 Pediatric anaesthesia and intensive care department, Fattouma Bourguiba Hospital, Monastir, Tunisia
Background:
Conventional burn wound debridement involves tangential excision of eschar with a knife or dermabrasion until viable dermis or punctate bleeding is reached. The Versajet™ hydrosurgery system (Smith & Nephew) offers an alternative, potentially preserving dermal tissue and reducing scarring. We present our experience using Versajet hydrosurgery for managing deep full-thickness burns in children
Materials and methods:
We conducted a review of patients admitted to the burn unit at Fattouma Bourguiba University Hospital, Monastir, from 2023 to 2025, who underwent debridement using the Versajet® hydrosurgical system for deep, full-thickness burns. Clinical characteristics of the burns were analyzed. Post-Versajet outcomes were assessed in terms of postoperative hospital stay duration and short- and medium-term results
Results
Five pediatric patients with thermal burns (four from flames and two from hot oil) were managed using the Versajet® hydrosurgical system. The mean age of the patients was 7.3 years, ranging from 5 to 10 years. The average TBSA burned was 10.3%, with a range of 5% to 15% with a 3rd degree depth. Versajet® allowed for precise and efficient debridement in a single operating room session, utilizing various nozzles to ensure minimal tissue loss while maintaining viable dermis. Skin grafting was performed within a few days of debridement, with all grafts demonstrating excellent adherence and satisfactory short-term healing and no secondary infections were observed following the use of the Versajet® system. The use of Versajet® significantly reduced the duration of hospital stays by enabling rapid and effective debridement, followed by timely grafting. This streamlined approach contributed to favorable clinical outcomes and efficient resource utilization.
Conclusion:
The Versajet™ system's precision and ability to preserve dermal tissue have proven that it is particularly advantageous for managing deep burns in children, potentially reducing hospital stay, minimizing scarring and improving long-term outcomes.