Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Redoable Tie-Over Dressing Using Multiple Loop Silk Threads

  • Jo, Hyeon Jong (Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Kim, Jun Sik (Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Kim, Nam Gyun (Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Lee, Kyung Suk (Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Choi, Jae Hoon (Institute of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine)
  • Received : 2013.02.05
  • Accepted : 2013.02.08
  • Published : 2013.05.15
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Abstract

After skin grafting, to prevent hematoma or seroma collection at the graft site, a tie-over dressing has been commonly used. However, although the conventional tie-over dressing by suture is a useful method for securing a graft site, refixation is difficult when repeated tie-over dressing is needed. Therefore, we recommend a redoable tie-over dressing technique with multiple loops threads and connecting silk threads. After the raw surface of each of our cases was covered with a skin graft, multiple loop silk thread attached with nylon at the skin graft margin. We applied the ointment gauze and wet cotton/fluffy gauze over the skin graft, then fixed the dressing by connecting cross-counter multiple loop thread with connecting silk threads. When we opened the tie-over dressing by cutting the connecting silk threads, we repeated the tie-over dressing with the same method. The skin graft was taken successfully without hematoma or seroma collection or any other complications. In conclusion, we report a novel tie-over dressing enabling simple fixation of the dressing to maintain proper tension for wounds that require repetitive fixation. Further, with this reliable method, the skin grafts were well taken.

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References

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