Nazan Sivrioğlu1, Saime Irkören1. 1. Department of Plastic and Reconstructive Surgery, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
Abstract
OBJECTIVE: The aim of the study was to evaluate the results of debridement with Versajet hydrosurgery system in patients with skin necrosis after ca gluconate extravasation. METHODS: We evaluated nine infants (mean age: 26 days; range: 1 day to 3 months) with calcium gluconate extravasation injury. Site of injury was the foot in 3 cases, the hand and wrist in 5 and the scalp in one. In all patients the skin necrosis was debrided with Versajet hydrosurgery system under general anesthesia without damaging the dermis layer. RESULTS: Following debridement all wounds healed spontaneously by re-epithelization and the mean time of full epithelization was fourteen days. No patient required a second debridement. At a minimum follow-up of 1 year minimal scar formation was noted and there was no hypertrophic scar. CONCLUSION: Versajet hydrosurgery system appears to be effective in the debridement of skin necrosis due to ca gluconate extravasation in pediatric population.
OBJECTIVE: The aim of the study was to evaluate the results of debridement with Versajet hydrosurgery system in patients with skin necrosis after ca gluconate extravasation. METHODS: We evaluated nine infants (mean age: 26 days; range: 1 day to 3 months) with calcium gluconate extravasation injury. Site of injury was the foot in 3 cases, the hand and wrist in 5 and the scalp in one. In all patients the skin necrosis was debrided with Versajet hydrosurgery system under general anesthesia without damaging the dermis layer. RESULTS: Following debridement all wounds healed spontaneously by re-epithelization and the mean time of full epithelization was fourteen days. No patient required a second debridement. At a minimum follow-up of 1 year minimal scar formation was noted and there was no hypertrophic scar. CONCLUSION: Versajet hydrosurgery system appears to be effective in the debridement of skin necrosis due to ca gluconate extravasation in pediatric population.
Authors: Farid Bekara; Julian Vitse; Sergiu Fluieraru; Raphael Masson; Antoine De Runz; Vera Georgescu; Guillaume Bressy; Jean Louis Labbé; Benoit Chaput; Christian Herlin Journal: Arch Plast Surg Date: 2018-03-05
Authors: Max Little; Sophie Dupré; Justin Conrad Rosen Wormald; Matthew Gardiner; Chris Gale; Abhilash Jain Journal: BMJ Open Date: 2020-08-06 Impact factor: 2.692