Download PDF
CC BY-NC 4.0 · Arch Plast Surg 2013; 40(03): 259-262
DOI: 10.5999/aps.2013.40.3.259
Idea and Innovation

Redoable Tie-Over Dressing Using Multiple Loop Silk Threads

Hyeon Jong Jo
Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
,
Jun Sik Kim
Institue of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
,
Nam Gyun Kim
Institue of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
,
Kyung Suk Lee
Institue of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
,
Jae Hoon Choi
Institue of Health Sciences, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea
› Author Affiliations
› Further Information
   Permissions and Reprints

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.

Keywords

Skin transplantation - Reconstructive surgical procedure - Surgical fixation devices

This article was presented at the 70th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 9-11, 2012 in Seoul, Korea.




Publication History

Received: 05 February 2013

Accepted: 08 February 2013

Article published online:
01 May 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Rudolph R, Ballantyne DL. Skin graft. In: McCarthy JG. Plastic surgery. 1990. Philadelphia: W.B. Saunders; 221-274
    Google Scholar
  • 2 Paletta CE, Pokorny JJ, Rumbolo P. Skin graf. In: Mathes SJ. Plastic surgery. 2006. 2nd ed. Philadelphia: W.B. Saunders; 873-886
    Google Scholar
  • 3 Thomas DG, Breslow N, Gart JJ. Trend and homogeneity analyses of proportions and life table data. Comput Biomed Res 1977; 10: 373-381
    CrossrefPubMedGoogle Scholar
  • 4 Valdatta L, Thione A, Buoro M. et al. The reproducible tie-over dressing. Plast Reconstr Surg 2003; 112: 708
    CrossrefPubMedGoogle Scholar
  • 5 Lee SJ, Kim YO, Park BY. A simple and rapid tie-over dressing with skin stapler and round rubber band. J Korean Soc Plast Reconstr Surg 2003; 30: 359-361
    Google Scholar
  • 6 Kim PC, Park SS, Lee YJ. et al. Easy reproducible tie-over dressing using Silastic(R) drainage. J Korean Soc Plast Reconstr Surg 2010; 37: 313-316
    Google Scholar
  • 7 Dogan F, Ozyazgan I, Eskitascoglu T. A new useful and renewable tie-over dressing method using package bands and bra hooks. Ann Plast Surg 2006; 57: 348-349
    CrossrefPubMedGoogle Scholar
  • 8 Budi S, Rados J, Stanec Z. A sports jacket clip: a simple method of securing tie-over dressings. J Plast Reconstr Aesthet Surg 2009; 62: e495-e496
    CrossrefPubMedGoogle Scholar