The Hanikoda Method: 3-layered Negative Pressure Wound Therapy in Wound Bed Preparation

Ian Chik, MD; Enda G Kelly, BSc, MBBch BAO, MRCSI, MCh; Razman Jarmin, MD, MS; Farrah-Hani Imran, MB BCh BAO, MRCS, MS

Wounds. 2016;28(10):360-368.

Conclusion

As the HM is a new technique, there are no prior comparisons. The brief literature review is based on single wound therapies that make up the HM. All techniques have proved useful for different types of wounds, and the combination of these 3 modalities may be used for a wider range of wounds without having to perform multiple mechanical debridements. This new design method is viable and is helpful in both wound healing and wound closure. However, further clinical trials comparing the HM with NWPT or hydrogel dressings alone has to be performed to measure clinical outcome and cost effectiveness.

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Table 1. Characteristics of each layer of the Hanikoda Method
	Indications	Advantages	Disadvantages
Hydrogel	Dry or slightly moist wounds Wounds with granulation tissue, eschar, or slough Primary wound contact layer Irregular wound surface	Irregular wound surface Painless removal	May require secondary dressing as it is difficult to secure May cause periwound maceration Can cause dehydration of wound if not covered well
Paraffin gauze	Secondary dressing	Relatively inexpensive Does not adhere to wound Maintains the surface contact with the primary hydrogel layer	Semiocclusive nature may prevent movement of exudate away from the wound, causing maceration
Negative pressure wound therapy	Open gaping wound requiring a decrease in size before a delayed primary closure or split-thickness skin graft	Reduces wound size Reduces bioburden of wound	Requires the patient be attached to suction Requires skill to prepare dressing May cause periwound maceration if used without periwound protection

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The Hanikoda Method: 3-layered Negative Pressure Wound Therapy in Wound Bed Preparation

Conclusion

Tables

References

Authors and Disclosures

Authors and Disclosures

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