CASE REPORTVacuum-Assisted Therapy for Combined Volar-Dorsal Soft-Tissue Defects of the Hand: A Case ReportKlein, David S. DO; Yingling, John M. DO; Patel, Priya MD; Capo, John T. MD Author Information David S. Klein, DO, is Orthopedic Surgeon, Department of Orthopedic Surgery, Morristown Medical Center, Tri-County Orthopedics, Cedar Knolls, New Jersey. In the Department of Orthopedic Surgery, Jersey City Medical Center–RWJBarnabas Health, John M. Yingling, DO, is Orthopedic Surgeon; Priya Patel, MD, is Research Fellow, Hand Surgery; and John T. Capo, MD, is Orthopedic Surgeon, Division of Hand Surgery. The authors have disclosed no financial relationships related to this article. Submitted January 5, 2021; accepted in revised form March 1, 2021; published online ahead of print August 19, 2021. Advances in Skin & Wound Care: January 2022 - Volume 35 - Issue 1 - p 57-61 doi: 10.1097/01.ASW.0000771980.02715.5c Buy Metrics Abstract Application of negative-pressure wound therapy dressings to the web spaces and small, often moist, areas of the hand can be technically demanding and time consuming. The researchers present a case report and technique for managing a devastating hand infection and soft-tissue defects by creating a self-fabricated sponge glove that is easily reproducible. Vacuum-assisted therapy for combined volar dorsal soft-tissue defects of the hand, or “Hand Vac,” is a novel approach for treating extensive hand wounds. This technique was used in a patient with diabetes with a deep space infection of the hand following serial debridements and antibiotic bead therapy. A single, medium-size sponge was cut using a knife and scissors to create an easily applied glove that was then sealed with adhesive dressing and a single suction port. The patient avoided complete amputation of the hand and deep infection was eradicated. The wounds had progressive granulation and healing and were eventually covered with split-thickness skin grafts. The authors conclude that severe soft-tissue defects involving both the volar and dorsal aspects of the hand can be effectively managed with a single glove-like sponge and suction port. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.