Hydrosurgical Debridement Use Associated With Decreased Surgical Site-Related Readmissions

A Retrospective Analysis

Crystal Valerie James, MD; Munir Patel, MD; Nicole Ilonzo, MD; Kojo Wallace, MD; Jani Lee, MD; Mabel Chan, MD; Scott Ellis, MD; John C. Lantis II, MD


Wounds. 2021;33(6):139-142. 

In This Article


Of the 190 patients, 132 were treated with standard soft tissue debridement, 17 with pulse irrigation in addition to standard soft tissue debridement, and 41 with hydrosurgical debridement. Forty of the 190 patients (21.1%) experienced an unplanned readmission within 30 days of discharge for a wound-related complication. Reasons for readmission included progressive gangrene, worsening osteomyelitis, and postoperative wound infection.

Binary logistic regression was performed. A statistically significant difference was evident between use of hydrosurgical debridement vs pulse irrigation with standard soft tissue debridement or standard soft tissue debridement alone (P < .05) (Table 1).

The odds ratio (OR) also was calculated using this logistic regression, and the OR for hydrosurgical debridement was found to be 0.31 (95% CI, 0.142–0.677) in reference to unplanned readmission due to SSI, as shown in Table 2. The OR of 0.31 shows a negative correlation between the occurrence of SSI and use of hydrosurgical debridement.