Closed suction drainage system for individual fingers and palm can be constructed from 21-gauge sterile catheters and Vacutainer tubes. A, Multiple tubing holes are made with scissors, and catheter is placed under skin flaps. B, After wound closure, 25-gauge needle can be used to instill steroid preparation through 21-gauge catheter needle. C, Vacutainer tube attached after dressing is applied and tourniquet is deflated.