Die Vakuumtherapie als temporäre Deckung an der „Problemzone Hand”

Abstract

Vacuum therapy represents a usefull procedure for temporary wound coverage. Especially at hand defects, when nerves, tendons or bones following trauma or staged procedures are exposed, vacuum therapy can be successfully applied utilizing the special surgical "hand glove" technique.

Coverage of Exposed Bones and Joints in Critically Ill Patients: Lower Extremity Salvage with Topical Negative Pressure Therapy

“…[1][2][3][4]6,[8][9][10][11]14,16,[25][26][27][28][29][30][31][32][33][34][35][36][37] The recently introduced technique of TNP therapy applies a negative pressure at the surface of the wound and has been developed to overcome some well-known difficulties in complicated wounds. Especially in situations of exposed vital structures, where direct split-thickness skin grafts are not an option (such as bone, tendons, nerves, vessels, and joints), this modality was shown to be very efficient.…”

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] It is based on the insertion of a polyvinyl or polyurethane foam sponge into a wound cavity that is sealed airtight with an adhesive foil. A computer-assisted and -controlled suction device is connected to this dressing and provides negative pressure to the wound.…”