Modifizierte „Handschuhtechnik” zur Vakuumtherapie an der Hand

Polykandriotis, Elias; Kneser, Ulrich; J, Kopp; Horch, Raymund E.

doi:10.1055/s-2006-921476

Cited by 12 publications

(6 citation statements)

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“…[ 23 ] Currently, it has been developed as a standard treatment mode for wounds, infections, and ulcers, and has also proven effective in treating soft tissue defects in the limbs of children. [ 24 ] Compared to traditional debridement and dressing methods, VSD does not require multiple debridements and dressing changes. It can also promote the growth of granulation tissue, reduce wound infections, and create optimum wound conditions for subsequent treatments.…”

Section: Discussionmentioning

confidence: 99%

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Repair of soft tissue and extensor tendon defects on the dorsum of the hand by transfer of dorsal foot flap and extensor digitorum brevis tendon in a 3-year-old child

et al. 2020

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Rationale: Repair of soft tissue defects on the dorsum of the hand with accompanying tendon defects is a challenging problem in clinical practice. Patient concerns: Here, we describe the case of a 3-year-old boy with a 1-week old soft tissue injury with infection due to a soft tissue defect on the dorsum of his right hand, and further describe its treatment. Diagnosis: A diagnosis of a soft tissue defect of the dorsum with extensor tendon defects in the fore, middle, ring, and little fingers of the right hand was made. Interventions: The defects were repaired using a dorsal foot flap combined with the extensor digitorum brevis tendon, under spinal anesthesia, and a small dose of the sedative phenobarbital (Lumina) was administered via pump injection after the surgery. Outcomes: The patient was followed-up for 6 months. The shape of the dorsal hand flap recovered satisfactorily and the skin color was almost normal. Protective sensation was restored and the tendon graft functioned well in vivo. Satisfactory outcomes were achieved in the flexion and extension of each finger. Lessons: This case study provides evidence that for soft tissue defects on the dorsum of the hand with tendon defects, 1-stage transfer of a dorsal foot flap with the extensor digitorum brevis tendon can be effective for recovery of appearance and extensor function. In case of infant patients, postoperative use of low-dose sedation can effectively reduce the risk of vascular crisis, thus promoting survival of the flap graft, and ensuring the success of the operation.

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Section: Discussionmentioning

confidence: 99%

“…It can also reduce painful stimulation and psychological trauma to children and helps increase their compliance with treatment. [ 24 , 25 ]…”

Section: Discussionmentioning

confidence: 99%

Repair of soft tissue and extensor tendon defects on the dorsum of the hand by transfer of dorsal foot flap and extensor digitorum brevis tendon in a 3-year-old child

et al. 2020

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“…[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.…”

Section: Discussionmentioning

confidence: 99%

“…[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.…”

mentioning

confidence: 99%

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

Horch

Dragu²,

Lang³

et al. 2008

J Cutan Med Surg

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“…As a result, limb function is poor and the treatment efficacy is unsatisfactory. A novel vacuum sealing drainage (VSD) (1) technique has become the standard treatment method for treating various types of wound surfaces and wounds that are difficult to heal (2). Compared with other traditional drainage modes, it has clear advantages.…”

Section: Introductionmentioning

confidence: 99%

Free dermatoplasty combined with vacuum sealing drainage for the treatment of large-area soft tissue defects accompanied by bone exposure in the lower leg

Yan

Wang

et al. 2013

Experimental and Therapeutic Medicine

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The aim of this study was to investigate the clinical efficacy of free dermatoplasty combined with vacuum sealing drainage (VSD) for the treatment of large-area soft tissue defects accompanied by bone exposure in the lower leg (crus). Free dermatoplasty combined with VSD was used to treat 36 patients with large-area soft tissue defects accompanied by bone exposure in the lower leg. The areas of the soft tissue defects ranged from 25×12 to 35×30 cm and the areas of exposed bone ranged from 6×4 to 10×6 cm. When evaluated by the open fracture Gustilo classification, 14 cases were of Gustilo type IIIA and 22 cases were of type IIIB. During surgery, adjacent available muscle flaps were transferred to cover the outer areas of the exposed bone and reduce the bone exposure range. Following VSD treatment, granulation tissues grew well and free dermatoplasty combined with VSD was used to treat and repair the wound surfaces. The patients were followed up for 1–5 years (mean duration, 2.5 years). All 36 cases with skin flap grafts survived, the free skin graft texture on the wound surface was good, the recovery of lower limb function was satisfactory and the success rate was 80.56%. Free dermatoplasty combined with VSD used for the treatment of large-area soft tissue defects accompanied by bone exposure in the lower leg may eliminate the need for amputation and complex surgery, and is a simple, fast and effective treatment method.

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Modifizierte „Handschuhtechnik” zur Vakuumtherapie an der Hand

Cited by 12 publications

References 0 publications

Repair of soft tissue and extensor tendon defects on the dorsum of the hand by transfer of dorsal foot flap and extensor digitorum brevis tendon in a 3-year-old child

Repair of soft tissue and extensor tendon defects on the dorsum of the hand by transfer of dorsal foot flap and extensor digitorum brevis tendon in a 3-year-old child

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

Free dermatoplasty combined with vacuum sealing drainage for the treatment of large-area soft tissue defects accompanied by bone exposure in the lower leg

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