A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds

Bektas, Cem Inan; Kankaya, Yüksel; Özer, Kadri; Baris, Ruser; Aslan, Özlem; Koçer, Uğur

doi:10.5999/aps.2013.40.6.711

Cited by 5 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The graft size in both the head and neck region and other areas did not significantly differ between the double tie-over dressing group and the bolster dressing group, with P-values of 0.335 and 0.918, respectively. The most common cause of skin graft failure is the collection of blood or serous fluid beneath the graft, and therefore, immobilization and close contact of the graft with the bed is an important factor for increasing the success of the skin graft [9]. We encountered nine cases of hematoma and one case of seroma, all of which resolved completely without any secondary intervention.…”

Section: Discussionmentioning

confidence: 98%

“…The most common cause of skin graft failure is the collection of blood or serous fluid beneath the graft, and therefore, immobilization and close contact of the graft with the bed is an important factor for increasing the success of the skin graft [ 9 ]. We encountered nine cases of hematoma and one case of seroma, all of which resolved completely without any secondary intervention.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of double tie-over dressing compared with bolster dressing

Lee

Kim

2018

Arch Plast Surg

View full text Add to dashboard Cite

BackgroundSkin grafting is a commonly performed operation in plastic and reconstructive surgery. The tie-over dressing is an effective technique to secure the grafted skin by delivering persistent downward pressure. However, if an additional dressing is required due to incomplete graft healing, the process of re-implementing the tie-over dressing may be frustrating for both patients and surgeons. Therefore, we introduce the double tie-over dressing, which readily allows for an additional tie-over dressing after the first dressing, and we present a comparison of its effectiveness with that of the simpler bolster dressing.MethodsOf 128 patients with a skin defect, 69 received a double tie-over dressing and 59 patients received a simple bolster dressing. Using the independent t-test, the mean healing time, which was defined as the mean time it took for the wound to heal completely so that no additional dressing was required and it was washable with tap water, was compared between the 2 groups in both the head and neck region and in other areas.ResultsThe mean healing time for the head and neck region in the double tie-over dressing group was 9.19±1.78 days, while it was 11.05±3.85 days in the bolster dressing group. The comparison of the 2 groups by the independent t-test revealed a P-value of 0.003 for the mean healing time.ConclusionsIn the head and neck area, the double tie-over dressing required less time to heal than the simple bolster dressing.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Effectiveness of double tie-over dressing compared with bolster dressing

Lee

Kim

2018

Arch Plast Surg

View full text Add to dashboard Cite

show abstract

“…However, the act of tying the knot typically requires an assistant and can take an increased amount of time relative to the excision procedure [ 10 ]. Various alterations in the traditional tie-over have been described in an effort to maximize effective downward pressure, including twist-tie [ 10 ], silicone tubing [ 11 ] and loop threads [ 8 ]. This variation in methods reflect a lack in consensus in the optimum material and technique.…”

Section: Discussionmentioning

confidence: 99%

Use of a Barbed Suture Tie-Over Technique for Skin Graft Dressings: A Case Series

Joyce

Mahon

et al. 2015

Arch Plast Surg

View full text Add to dashboard Cite

BackgroundA tie-over dressing is the accepted method to secure skin grafts in order to prevent haematoma or seroma formation. We describe the novel application of a barbed suture tie-over for skin graft dressing. The barbs act as anchors in the skin so constant tensioning of the suture is not required.MethodsFrom January 2014 to August 2014 we used the technique in 30 patients with skin defects requiring split-thickness or full-thickness grafts. Patient demographics, clinicopathological details and graft outcome were collected prospectively.ResultsThe majority of cases were carried out for split-thickness skin grafts (n=19) used on the lower limb (n=20). The results of this novel technique were excellent with complete (100%) graft take in all patients.ConclusionsOur results demonstrate the clinical application of a barbed device for securing skin grafts with excellent results. We find the technique quick to perform and the barbed device easy to handle, which can be applied without the need for an assistant.

show abstract

“…The literature search identified 1619 unique abstracts. A total of 151 reports were considered: 46 were subsequently excluded because they assessed split-thickness skin grafts only,[ 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 ] and 14 abstracts could not be accessed—none of which were analytic studies. [ 49 50 51 52 53 54 55 56 57 58 59 60 61 62 ] The final 91 papers studied consisted of 12 analytic studies and 79 descriptive studies (case series, case reports, or expert opinion articles).…”

Section: R Esultsmentioning

confidence: 99%

Full-thickness skin graft fixation techniques: A review of the literature

Steele

Brown

Xie

2020

J Cutan Aesthet Surg

View full text Add to dashboard Cite

Multiple techniques for skin graft fixation have been proposed, but the evidence underlying these techniques is unclear. This study aimed to review the literature for full-thickness graft fixation techniques. PubMed was electronically searched to identify relevant studies. The search strategy identified 91 relevant articles. These consisted of 2 randomised controlled trials (RCTs), 10 observational cohort studies (8 retrospective, 2 prospective), and 79 descriptive studies (case series, case reports, or expert opinion articles). Both identified RCTs compared the tie-over dressing against a modified tie-over dressing. The tie-over dressing was also included in all identified observational studies, and comparisons were made against quilting/mattress suturing (4 studies, 181 grafts in total), simple pressure dressings (3 studies, 528 grafts), non-tie-over dressings non-specifically (1 study, 71 grafts), hydrocolloid dressings (1 study, 62 grafts), and double-tie over dressings (1 study, 43 grafts). No significant differences were found between fixation methods for graft take, haematoma rate, and infection rate. No studies have found a significant difference between tie-over dressings and alternative graft fixation technique, with the most evidence for simple pressure dressings and quilting/mattress suturing. However, the evidence base consists mostly of small, retrospective observational studies. This article describes the current evidence base and this should be considered when planning future reports in the field.

show abstract

A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds

Cited by 5 publications

References 5 publications

Effectiveness of double tie-over dressing compared with bolster dressing

Effectiveness of double tie-over dressing compared with bolster dressing

Use of a Barbed Suture Tie-Over Technique for Skin Graft Dressings: A Case Series

Full-thickness skin graft fixation techniques: A review of the literature

Contact Info

Product

Resources

About