„Wasser marsch“ im Haut OP mittels Wasserstrahlskalpell

Zusammenfassung

Das Debridement chronischer Wunden ist eine Voraussetzung für die Wundheilung. Eine der Optionen, um Debris, Nekrosen oder posttraumatische Fremdkörper zu entfernen, ist die Hydrochirurgie in Anästhesie und in einem sterilen OP-Umfeld. Diese chirurgische Maßnahme ist z.B. geeignet für chronische Beinulzera, aber auch für Verbrennungen, nekrotische Wunden, Fremdmaterialeinsprengungen, axilläre Osmosis und Phyme bei Rosazea. Die Studienlage zeigt einige wenige, aber kontrollierte Studien und Metaanalysen. Für dieses chirurgische Gerät mit einem Einmal-Handstück sind die Kosten zwar hoch wegen des Verbrauchsmaterials, aber die Zeitersparnis ist belegt und kann gegengerechnet werden. Das Absaugen des debridierten Materials, welche das Gerät während der Maßnahme leistet, ist für den Operateur angenehm.

Abstract

Debridement of chronic wounds is crucial for healing. One of the options to achieve the removal of adherent, dead tissue and foreign bodies is hydrosurgery, that is a surgical debridement with adequate anaesthesia in an operating theatre. This surgical option is aimed for chronic leg ulcers, but also appropriate for burns, necrotic skin areas, severe traumata, osmosis and rhinophym. There is a moderate level of evidence provided by clinical studies for hydrosurgery. The method is expensive for the surgical hand-held device, but spares time in the operating theatre and withelds the debris from the dermatosurgeon by siphoning off with a tube next to the water-scalpell.

Publication History

Article published online:
01 September 2023

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