Role of the Surgical Glove in Modified Vacuum-Assisted Wound Healing

Hemmanur, Shankar Ram; Siddha, Loka Vijayan

doi:10.5999/aps.2013.40.5.630

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…Securing the NPWT foam in with clear adhesive in hands and feet can be time-consuming and prone to loss of seal at the digits and web spaces, and use of a sterile glove (with elastic band at wrist removed) overlying the foam distally has been shown to reliably secure the NPWT for the first 5 days 175 . This has been further modified into a 2-layer glove dressing, with the NPWT tube secured between the layers, and the use of longer-sleeved gynecological gloves for more extensive areas on the hands and feet, 176 with good outcomes. A technique for intraoperative surgical preparation of burnt fingers, placing a glove over the entire hand and removing glove digits from the digits to be operated upon, was described, with the benefits of acting as a digital tourniquet, isolating areas of dirt elsewhere on the hand, and being cost-effective 177 …”

Section: Resultsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Introduction Advances in the evidence base of acute thermal hand burns help to guide the management of these common injuries. The aim of this literature review was to evaluate recent evidence in the field over 10 years. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols methodology was used as a guide for this literature review. PubMed, MEDLINE, EMBASE, CINAHL, and Google Scholar were searched for English language articles related to hand burns published between 2009 and 2018 inclusive, and the Cochrane Library was reviewed. Exclusion criteria were as follows: participants younger than 18 years, scar or contracture management, rehabilitation, outcomes assessment, late reconstruction, and electrical or chemical burns. Results An initial search retrieved 6493 articles, which was narrowed to 403 full-text articles that were reviewed independently by 3 of the authors and categorized. Of 202 included articles, there were 8 randomized controlled trials and 2 systematic reviews. Six evidence-based guidelines were reviewed. Referral of hand burns to specialist centers, use of telemedicine, early excision and grafting, and immediate static splintage have been recommended. Enzymatic debridement results in earlier intervention, more accurate burn assessment, preservation of vital tissue, and fewer skin grafts, and ideally requires regional anesthesia. Guidance on escharotomy emphasizes indication, technique and adequate intervention, and potential for enzymatic debridement. Inclusion of topical negative pressure, dermal regenerative templates, acellular dermal matrices, and noncellular skin substitutes in management has helped improve scar and functional outcomes. Discussion The results of this literature review demonstrate that multiple national and international societies have published burns guidelines during the decade studied, with aspects directly relevant to hand burns, including the International Society for Burn Injuries guidelines. There are opportunities for evidence-based quality improvement across the field of hand burns in many centers. Conclusions More than 200 articles globally in 10 years outline advances in the understanding of acute management of thermal hand burns. Incorporating the evidence base into practice may facilitate optimization of triage referral pathways and acute management for hand burns.

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Section: Resultsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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“…This method is fast and ergonomic for the management of extremity wounds. Hemmanur and Siddha described the method of using surgical gloves for NPWT in 2013 [2]. We have modified this by the addition of collagen powder.…”

Section: Discussionmentioning

confidence: 99%

“…Anthony Foo modified it using an additional glove and mesenterization of the tubing for the management of multiple finger wounds. Hemmanur and Siddha used a surgical glove and Opsite for the application of NPWT in lower and upper limb wounds [2]. Here, we are discussing an easy and economical modification of NPWT to the extremities using sterile surgical gloves and collagen powder.…”

Section: Introductionmentioning

confidence: 99%

An Easy Technique for Negative-Pressure Wound Therapy for Extremities Using Collagen Powder and Sterile Gloves

Sreelesh

Bhandari

2017

Indian J Surg

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Negative-pressure wound therapy (NPWT) has become the standard of care for wound management. Application of NPWT to the hand and foot is technically challenging due to difficulty in obtaining a proper air seal. The cost of the treatment is another negative factor affecting NPWT in developing countries. We describe an easy and economical technique for the application of NPWT to the extremities using collage powder and sterile surgical glove. Collagen creates a physiological interface between the wound surface and the environment and is also non-immunogenic, non-pyrogenic, hypoallergenic, and pain-free. We used this method in 20 patients. In all cases, we could achieve a proper air seal and significantly reduce the cost. The median duration of NPWT application was 9 days. This combination turned out to be a good alternative to traditional VAC with respect to the duration and cost of treatment and also ergonomically better in the management of extremity wounds.

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“…Modified vacuum-assisted wound closure with a surgical glove has been proven effective [ 1 ]. Fournier's gangrene is a condition that has the possibility of sepsis and delayed healing.…”

mentioning

confidence: 99%

“…Safe patient positioning is a basic tenet of surgical preparation. Numerous publications describe the principles of protecting areas of the body that may be prone to injury from pressure or stretch [1][2][3][4]. Undoubtedly, many surgeons and anesthesiologists have developed their own modifications to accommodate for their particular needs and comfort, while maintaining the fundamental elements necessary to provide for a safe surgical environment.…”

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confidence: 99%