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
hand - wound - dressing - vacuum - injury - negative pressure