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Statement of the Problem: The concept of surgical wound debridement was developed by military field surgeons and has
remained as a sharp debridement technique for over 300 years until the development of new surgical technology in the 21st
Aim: The purpose of this presentation is to demonstrate the validity of new technologies and their role in the treatment of
Methodology: A review of the English language literature on surgical wound debridement is presented along with the author’s
personal surgical experience.
Findings: Hydrosurgical technology was introduced about 15 years ago. The instrument delivered a high-powered beam of
focused saline tangentially to the wound surface. The use of the device was found to be more effective and efficient at wound
bed preparation than standard surgical technique. The latest innovation involves direct contact low frequency ultrasound.
This technology controls mist dispersion, biofilm removal and wound cleansing more effectively than previous methods. In
addition, it is more versatile and has the added features of bone cutting and curetting of tissues.
Conclusions & Significance: Surgical wound debridement is a technology driven and advancing field. The latest devices have
more versatility and a greater ability to clean wounds of all types and remove diseased bone as well as biofilm. There is a
possibility that the technology can be used to salvage exposed metallic implants. Furthermore, it may be adaptable to pretreating
surgical incision sites to minimize surgical site infections.
Mark S Granick is the tenured Professor of Surgery and Chief of Plastic Surgery in the Department of Surgery. He has a 25 years history of academic plastic surgical experience. He began with a BA from Cornell University and MD from Harvard Medical School. He has performed his Residency training at Harvard and at the University of Pittsburgh. He is certified by the American Boards of Plastic Surgery and of Otolaryngology, Head and Neck Surgery. He is very active on the internatizzonal academic scene and has taught many courses and lectured throughout the world. He is internationally known for his expertise in wound surgery and technology.