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Table 1: Summary of Group 1 patients
Age Gender Etiology and site Size Total duration for Total Method Total duration
(years) (cm ) tissue culture to number of of healing of wound
2
become negative sessions healing (in
after JFT of JFT weeks)
70 Male Postinfective (cellulitis) raw area left ankle 7 × 6.5 2 4 JFT only 4
42 Male Posttraumatic ulcer right heel 7 × 6 2 2 JFT only 4
75 Female Sacral pressure sore (grade 3) 5 × 7 2 3 JFT only 5
61 Male Diabetic foot ulcer 4 × 4 2 4 JFT only 3
60 Male Posttraumatic raw area right leg 4 × 4 2 4 JFT only 2
23 Male Sacral pressure sore (grade 4) 15 × 10 3 5 JFT only 6
JFT: Jet force technology

Table 2: Summary of Group 2 patients
Age Gender Etiology and site Size Total duration for Total Method of Total duration
(years) (cm ) tissue culture to number of healing (JFT + of wound
2
become negative sessions SSG/flap) healing
after JFT of JFT (in weeks)
36 Male Posttraumatic raw area left foot 15 × 10 3 8 JFT + SSG 3
with osteomyelitis
52 Female Diabetic foot ulcer 3 × 3 1 2 JFT + flap 2
65 Male Post pacemaker implant infected 4 × 3 2 4 JFT + flap 3
nonhealing ulcer left chest wall
47 Female Diabetic foot ulcer 5 × 4 3 7 JFT + flap 4
45 Male Posttraumatic raw area left forearm 12 × 5 3 4 JFT + SSG 2
32 Male Postelectric burn raw area 8 × 7 3 6 JFT + SSG 3
72 Male Trophic ulcer right heel 3 × 2 1 2 JFT + SSG 2
31 Female Nonhealing varicose ulcer left ankle 15 × 7 3 5 JFT + SSG 5
54 Male Nonhealing diabetic ulcer left leg 3 × 2 2 3 JFT + SSG 2
24 Male Ischial pressure sore Grade 4 5 × 5 2 3 JFT + flap 4
48 Female Carcinoma left buccal mucosa 20 × 10 3 6 JFT + flap 5
postfailed free alt and PMMC flap
with orocutaneous fistula
52 Male Sacral pressure sore Grade 4 10 × 8 2 5 JFT + SSG 4
JFT: Jet force technology, SSG: Split skin graft, PMMC: Pectoralis major myocutaneous
duration of time. Local wound infection and foreign
[6]
bodies affect healing by prolonging the inflammatory
phase. If the bacterial count in the wound exceeds
10 organisms per gram of tissue or if beta‑hemolytic
5
Streptococcus is present, the wound will not heal by any
means, including flap coverage, skin grafting, or primary
suturing. The common terms used to describe the
[7]
processes used to remove factors detrimental to wound
healing are “cleansing” and “debridement”. Cleansing
describes the process in which fluid is utilized to remove
cellular debris and residue from the wound surface or
exudate or wound care products. Debridement refers
[8]
to the application of mechanical force or chemicals to
remove any adherent particles from a wound. [9]
Figure 3: At admission Wound cleansing is an integral part of the management
of acute traumatic wounds as well as chronic wounds.
DISCUSSION Hydrotherapy is one of the oldest adjuvant therapies still
in use today. Hydrotherapy is the use of water or saline
The healing of any wound proceeds through the following under pressure to mechanically remove microscopic
phases: hemostasis, inflammation, proliferation, and tissue debris and bacteria. There are two types of hydrotherapy
remodeling or resolution. The end result of wound healing commonly practiced, whirlpool and pulsed lavage
is determined by the interplay of these functions in a therapy. Whirlpool therapy supports wound healing by
proper sequence at an appropriate intensity for a specified debriding the wound, warming the injured extremity,

Plast Aesthet Res || Vol 2 || Issue 5 || Sep 15, 2015 279