A New Loop Suture Tie-Over Technique for Skin Graft Dressings

Abstract

Skin grafting is a well established technique for reconstructing areas of skin loss or excision in the hand. Traditional tie-over sutures often require operator assistance, do not allow adequate control when knotting and may cause unnecessary trauma to the graft when removed. We describe a new looped suture tie-over technique to secure and fix the graft dressings that is simple, quick, allows better knot-tying control and can be removed atraumatically.

Effectiveness of double tie-over dressing compared with bolster dressing

“…The tie-over suture is one of the most common methods of generating pressure on a dressing in order to splint a graft to its bed, and this requires the placement of interrupted silk sutures around the circumference of the graft [ 8 ]. In our technique, 2 silk threads were placed, allowing for an additional tie-over dressing.…”

Simple Loop Stitch Tie over Technique for Skin Graft

“…Another advantage of our technique is the pressure gained over the skin graft as a double pulley system like the technique used by Misra and Belecher in 2002 which gain more pressure than that gained by the conventional tie over technique [9].…”

“…Many modifications to the tie-over suture include the following: A simple tie-over-bolus dressing for skin grafts, the pressure button as a refinement of the traditional "tie-over" dressing, the use of collars and beads with the classic stitches, the ''lacing suture'' technique, which combines marginal staples with two running stitches that are tied in the middle, a spring-loaded clamp, tie-over sutures secured using a modified 10 ml syringe and its piston,''running'' tie-over , multiple loop sutures, an elastic tape with silk threads to be for the tie over dressing, tie-over dressing with criss-cross lacing pattern tieover bandage for treating raw areas in animals, tie-over dressing using multiple loop silk threads and a barbed suture tie over [1][2][3][4][5][6][7][8][9][10][11][12][13].…”

<i>Cutem vivo in</i>: autoinjerto cutáneo en el manejo de pacientes quemados

“…El apósito tieover reverso, marcos de alambre, retenedores, puntos de colchonero, pegamento de fibrina, dermabond (cianoacrilato) y presión negativa son otros métodos de fijación. 1,[9][10][11] Las complicaciones más frecuentes del injerto cutáneo son la pigmentación y contracción, pues mientras más delgado es el injerto más se contrae. Un tratamiento tópico para la pigmentación es la crema de hidroquinona.…”