Role of jet force technology in wound management

Abstract

Aim: The aim was to study the role of Jet force technology (JFT) in wound management.

Methods: This is a retrospective analysis of 18 cases of chronic nonhealing wounds in which JFT was used. Chronic wounds which had already undergone surgical debridement but which were not ready for reconstruction (skin graft/flap) secondary to a persistent bacterial load or infection (tissue culture positive) were included in the study. Patients were divided into two groups. Group 1 included those patients who were poor candidates for anesthesia or who refused for reconstruction and were managed with JFT only. Group 2 included those patients who were cleared for anesthesia and who were managed with JFT and skin graft or flap coverage. The time to negative wound cultures after JFT and the total duration of healing were noted.

Results: In both the groups, all tissue culture positive chronic wounds became negative after 2 ± 1 weeks and were ready for reconstruction. In Group 1 (6 patients) the wounds completely healed in 5-6 weeks with JFT only. In Group 2 (12 patients), the wounds completely healed in 3-4 weeks with JFT and skin graft/flap.

Conclusion: Hydrotherapy with JFT helps in the removal of contaminants, debris, and microbial colonization of the wound leading to spontaneous wound healing and facilitating wound bed preparation for wound coverage by a skin graft or flap.

Keywords

Chronic wounds / debridement / hydrotherapy / jet force technology

References

[1] Serhan CN.Novel endogenous small molecules as the checkpoint controllers in inflammation and resolution: entre'e for resolemics..Rheum Dis Clin North Am2004;30:69-95

[2] Robson MC.Bacterial quantification of open wounds..Mil Med1969;134:19-24

[3] Winter GD.Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig..Nature1962;193:293-4

[4] Harris C,Parslow N,Singh M.Bates-Jensen wound assessment tool: pictorial guide validation project..J Wound Ostomy Continence Nurs2010;37:253-9

[5] Shetty R,Lamba S.A novel and accurate technique of photographic wound measurement..Indian J PlastSurg2012;45:425-9 PMCID:PMC3495395

[6] Gosain A.Aging and wound healing..World J Surg2004;28:321-6

[7] Robson MC.Wound infection. A failure of wound healing caused by an imbalance of bacteria..Surg Clin North Am1997;77:637-50

[8] Rodeheaver GT.Pressure ulcer debridement and cleansing: a review of current literature..Ostomy Wound Manage1999;45:80S-85S

[9] Feedar JA.McCulloch JM,Feedar JA.Clinical management of chronic wounds..Wound Healing: Alternatives in Management. 2nd ed.1995;PhiladelphiaFA Davis Co137-85

[10] Hess CL,Attinger CE.A review of mechanical adjuncts in wound healing: Hydrotherapy, ultrasound, negative pressure therapy, hyperbaric oxygen, and electrostimulation..Ann Plast Surg2003;51:210-8

[11] Simor AE,Vearncombe M,Barry C,Fish JS,Palmer R.An outbreak due to multiresistant Acinetobacter baumannii in a burn unit: risk factors for acquisition and management..Infect Control Hosp Epidemiol2002;23:261-7

[12] Berrouane YF,Buschelman BJ,Sanford MD,Pfaller MA.Outbreak of severe Pseudomonas aeruginosa infections caused by a contaminated drain in a whirlpool bathtub..Clin Infect Dis2000;31:1331-7

[13] Thomas GW,Bar-Or R,Mains CW,Craun ML.Mechanisms of delayed wound healing by commonly used antiseptics..J Trauma2009;66:82-90

[14] Main RC.Should chlorhexidine gluconate be used in wound cleansing?.J Wound Care2008;17:112-4

[15] Bergstrom N, Allman RM, Alvarez OM, Bennett MA, Carlson CE, Frantz RA, Garber SL, Jackson BS, Kaminski MV, Kemp MG, Krouskop TA, Lewis VL, Maklebust J, Margolis DJ, Marvel EM, Reger SI, Rodeheaver GT, Salcido R, Xakellis GC, Yarkony GM. Treatment of Pressure Ulcers: Clinical Practice Guideline No. 15. Rockville, Md: US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; 1994. pp. 6-7, 47-53.

[16] Haynes LJ,Handley BC.Comparison of Pulsavac and sterile whirlpool regarding the promotion of tissue granulation..Phys Ther1994;74:S4

[17] Madden J,Schauerhamer R,Borner J.Application of principles of fluid dynamics to surgical wound irrigation..Current Topics in Surgical Research1971;3:85-93

[18] Granick MS,Noruthrun S,Ganchi PA.Clinical and economic impact of hydrosurgical debridement on chronic wounds..Wounds2006;18:35-9

[19] Luedtke-Hoffmann KA.Pulsed lavage in wound cleansing..Phys Ther2000;80:292-300