Skin grafting of a chronic leg ulcer with combined Versajet™‐V.A.C. therapy

Summary A new method for surgical wound de‐bridement is the Versajet™ hydrosur‐gery technique.This technique uses a high velocity jet of sterile saline with a speed up to 1 078 km/h (670 miles/h). By using the Venturi effect (fluid speeds up in a restriction, reducing its pressure and producing a partial vacuum), a simultaneous vacuum is created across the operating window of the handpiece. The application of this high velocity fluid jet to a chronic wound enables precise debridement without collateral tissue damage. The vacuum‐assisted closure (V.A.C.) therapy is used for chronic wounds to induce faster wound healing. This system creates a vacuum‐induced negative pressure to a specific wound area resulting in an accelerated formation of granulation tissue in the wound bed.We present a patient who experienced rapid wound healing when both of these techniques were combined to clean the wound. After split‐thickness skin grafting, V.A.C. therapy was continued. The result was excellent graft acceptance with complete wound healing. This case is unique in that a combination of both therapies resulted in complete wound healing.