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Journal of Hand Surgery (British and European Volume)
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Articles

Closed Continuous Irrigation in the Treatment of Hand Infections

P. A. HARRIS
J. NANCHAHAL

From the Plastic and Reconstructive Surgery Unit, Charing Cross Hospital, London, UK

Correspondence: J. Nanchahal PhD FRCS(Plas), Imperial College School of Medicine, Charing Cross Campus, Fulham Palace Road, London W6 8RF, UK. E-mail: j.nanchahal{at}ic.ac.uk

We report our experience with a closed continuous irrigation system in 12 patients with hand infections: six cases of flexor tenosynovitis, three cases of septic arthritis and three palmar abscesses. Four of these patients had undergone previous surgical débridement and peroperative washout without elimination of the infection. The continuous irrigation system consists of two fenestrated tubes placed within the infected space, with the tip of the smaller calibre inlet tube positioned just inside the larger outlet tube. Resolution of infection was achieved in all 12 cases and all regained complete functional recovery. The closed continuous irrigation system is easy to manage, with no leakage of fluid; hand therapy may be started early and the patient is mobile throughout.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 3, 328-333 (1999)
DOI: 10.1054/JHSB.1998.0009
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Home page
 J Hand Surg Eur VolHome page
Z. H. DAILIANA, N. RIGOPOULOS, S. VARITIMIDIS, M. HANTES, K. BARGIOTAS, and K. N. MALIZOS
Purulent Flexor Tenosynovitis: Factors Influencing the Functional Outcome
J Hand Surg Eur Vol., June 1, 2008; 33(3): 280 - 285.
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