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Topic: Current Concepts in Wound Healing

Role of jet force technology in wound

management

Vijayaraghavan Nandhagopal, Ravi Kumar Chittoria, Devi Prasad Mohapatra,
Friji Meethale Thiruvoth, Dinesh Kumar Shivakumar, Arjun Ashokan

Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India.
Address for correspondence: Dr. Ravi Kumar Chittoria, Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical
Education and Research, Puducherry 605006, India. E‑mail: drchittoria@yahoo.com

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 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.

Key words:
Chronic wounds, debridement, hydrotherapy, jet force technology

INTRODUCTION under pressure (hydrotherapy) removes debris and reduces
the bacterial content (bioburden), assisting in wound
Normal wound healing is a complex array of multiple healing. [3]
processes which is characterized by three overlapping Jet force technology (JFT) is a type of continuous
phases: inflammatory, proliferative and remodeling. hydrotherapy, which transforms saline and oxygen into
[1]
Infection and debris are one of the important and common microdroplets, which are accelerated to supersonic
impediments to wound healing. Wound healing is speeds to remove dead or poorly healing tissue from
possible only when bacterial counts are maintained at a a wound surface. On a review of the current literature,
concentration of 100,000 organisms per gram or less. no articles on JFT were found. This article presents the
[2]
The presence of eschar, scab or foreign bodies also act as
impediments to wound healing. Irrigating the wounds
[3]
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Website: For reprints contact: reprints@medknow.com
www.parjournal.net
How to cite this article: Nandhagopal V, Chittoria RK, Mohapatra DP,
Thiruvoth FM, Shivakumar DK, Ashokan A. Role of jet force
DOI: technology in wound management. Plast Aesthet Res 2015;2:277-81.
10.4103/2347-9264.165441
Received: 28-11-2014; Accepted: 11-06-2015

© 2015 Plastic and Aesthetic Research | Published by Wolters Kluwer ‑ Medknow 277