Vacuum-Assisted Therapy for Combined Volar-Dorsal Soft-Tissue Defects of the Hand: A Case Report

Application of negative-pressure wound therapy dressings to the web spaces and small, often moist, areas of the hand can be technically demanding and time consuming. The researchers present a case report and technique for managing a devastating hand infection and soft-tissue defects by creating a se...

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Bibliographic Details
Published in:Advances in skin & wound care Vol. 35; no. 1; pp. 57 - 61
Main Authors: Klein, David S., Yingling, John M., Patel, Priya, Capo, John T.
Format: Journal Article
Language:English
Published: United States Lippincott Williams & Wilkins 01-01-2022
Lippincott Williams & Wilkins Ovid Technologies
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Summary:Application of negative-pressure wound therapy dressings to the web spaces and small, often moist, areas of the hand can be technically demanding and time consuming. The researchers present a case report and technique for managing a devastating hand infection and soft-tissue defects by creating a self-fabricated sponge glove that is easily reproducible. Vacuum-assisted therapy for combined volar dorsal soft-tissue defects of the hand, or "Hand Vac," is a novel approach for treating extensive hand wounds. This technique was used in a patient with diabetes with a deep space infection of the hand following serial debridements and antibiotic bead therapy. A single, medium-size sponge was cut using a knife and scissors to create an easily applied glove that was then sealed with adhesive dressing and a single suction port. The patient avoided complete amputation of the hand and deep infection was eradicated. The wounds had progressive granulation and healing and were eventually covered with split-thickness skin grafts. The authors conclude that severe soft-tissue defects involving both the volar and dorsal aspects of the hand can be effectively managed with a single glove-like sponge and suction port.
Bibliography:ObjectType-Case Study-2
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ISSN:1527-7941
1538-8654
DOI:10.1097/01.ASW.0000771980.02715.5c