CC BY-NC-ND 4.0 · Indian J Plast Surg 2015; 48(01): 075-078
DOI: 10.4103/0970-0358.155274
Ideas and Innovations
Association of Plastic Surgeons of India

A simple and rapid method of repeated tie over dressing

Hardeep Singh
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
,
Aditya Aggarwal
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
,
Rakesh Kumar Khazanchi
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
,
Sanjay Mahendru
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
,
Vimalendu Brajesh
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
,
Sukhdeep Singh
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
,
S. Krishnan
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta — The Medicity, Gurgaon, Haryana, India
› Author Affiliations
Further Information

Publication History

Publication Date:
26 August 2019 (online)

ABSTRACT

Tie overdressing is commonly used to secure the graft against the raw surface and prevent loss due to of hematoma or seroma. A conventional tie over dressing with silk sutures, is a useful method of securing the graft to raw area. Refixation is difficult when repeated tie over dressings are needed. We assessed a low cost repeated tie over dressing method using sterile sample collection containers and silk suture threads in eight patients. After the graft is applied on the bed, tie-over stitches are taken, and paraffin gauze is applied over with adequate padding; the tie over sutures are passed through the container and the lid is tightened over it to complete the dressing. The lid can be unscrewed easily at any time to inspect the graft and can be easily reapplied in the outpatient department. The skin graft take in all the patients was complete without any seroma or hematoma. A novel and low-cost tie over dressing that enables simple fixation of the dressing, to maintain proper position of grafts that require repeated fixation is reported here.

 
  • REFERENCES

  • 1 Thorne CH, Beasley RW, Grabb Smith. Plastic Surgery. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2007: p. 14
  • 2 McGregor AD, Mc Gregor I. Fundamental Techniques of Plastic Surgery. 10th ed. Philadelphia: Churchill Livingstone; 2004: p. 39
  • 3 Wells MD, Kirn DS. A new method of skin-graft stabilization: The Reston technique. Ann Plast Surg 1995; 34: 554-6
  • 4 Di Benedetto G, Pierangeli M, Scalise A, Andriessen A, Rowan S, Bertani A. An improved tie-over dressing technique for skin grafts using a hydrocellular dressing. Plast Reconstr Surg 2000; 106: 507-9
  • 5 Scherer LA, Shiver S, Chang M, Meredith JW, Owings JT. The vacuum assisted closure device: A method of securing skin grafts and improving graft survival. Arch Surg 2002; 137: 930-3
  • 6 Ren J, Yiang QJ, Deng B, Yiang YN. Transparent gasbag tie-over for persistent pressure and inspection in free skin grafting. Plast Reconstr Surg 1995; 95: 396-9
  • 7 Mathes S. Plastic Surgery. 2nd ed. Philadelphia: Saunders Elsiever; 2006: p. 309
  • 8 Kim YO, Lee SJ, Park BY, Lee WJ. The tie-over dressing using skin-staples and round rubber bands. Br J Plast Surg 2005; 58: 751-2
  • 9 Sarifakioglu N, Gokrem S, Yuksel A, Aslan G. Staged tie-over dressing technique. Plast Reconstr Surg 2003; 112: 1740-1
  • 10 Dogan F, Ozyazgan I, Eskitasçoglu T. A new useful and renewable tie-over dressing method using package bands and bra hooks. Ann Plast Surg 2006; 57: 348-9
  • 11 Jo HJ, Kim JS, Kim NG, Lee KS, Choi JH. Redoable tie-over dressing using multiple loop silk threads. Arch Plast Surg 2013; 40: 259-62