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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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                                                               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
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