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Review
. 2021 Oct 18;14(4):276-283.
doi: 10.1055/s-0041-1729467. eCollection 2022 Oct.

Topical Negative Pressure Wound Dressing and Its Applications in the Hand-A Review of the Literature

James Logan  1 , Georgia Scott  1 , Christopher Peake  1 , Jay James Watson  1 , Rajive Jose  2
Affiliations
Review

Topical Negative Pressure Wound Dressing and Its Applications in the Hand-A Review of the Literature

James Logan et al. J Hand Microsurg. .

Abstract

The use of topical negative pressure wound therapy (NPWT) has become increasingly popular in the management of complex wounds. There are many theories as to the mechanism of action of NPWT, but the essential components of the various systems remain consistent. There are many attractive potential properties of negative pressure dressings that lend themselves to the management of upper limb injuries. This article explores the technique of negative pressure wound dressing, the theories pertaining to mechanism of action, and the increasingly broad indications described for the use of NPWT in the hand. The literature pertaining to the efficacy of NPWT in general is also discussed.

Keywords: dressing; hand; injury; negative pressure; vacuum; wound.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Flow diagram for the search strategy.
Fig. 2
Fig. 2
The hand-in-glove technique (Reprinted with permission from Elsevier Ltd).
Fig. 3
Fig. 3
The hand-in-glove technique (Reprinted with permission from Elsevier Ltd).
Fig. 4
Fig. 4
Modified hand in mitt technique (Reprinted with permission from the University of Occupational and Environmental Health, Japan).
Fig. 5
Fig. 5
Hand-in-glove technique with external skeletal fixation in situ (Reprinted with permission from SLACK inc).
Fig. 6
Fig. 6
Bag type negative pressure wound therapy (Reprinted with permission from Okayama University, Japan).
Fig. 7
Fig. 7
Negative pressure wound dressing used to treat burnt hands (Reprinted with permission from the American Burn Association).
Fig. 8
Fig. 8
Hand exposed to Freon gas post-surgical decompression and with NPWT in position (Reprinted with permission from Springer-Verlag Berlin Heidelberg).
Fig. 9
Fig. 9
The “Vac splint” for hands (Reprinted with permission from Elsevier Ltd).
See this image and copyright information in PMC

References

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