Effectiveness of double tie-over dressing compared with bolster dressing

Lee, Seo Hyung; Kim, Yu Jin

doi:10.5999/aps.2017.01424

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…A nonadherent dressing is placed on top, and only 1 strand from each knot is tied over, leaving the other strand for an additional tie-over dressing if needed after removing the first dressing. In a retrospective comparison of 69 double TOBs in which the first dressing was removed after 5 days, and 59 simple TOBs, skin grafts in the head and neck receiving the double-TOB required less time to heal 20 …”

Section: Resultsmentioning

confidence: 99%

“…In a retrospective comparison of 69 double TOBs in which the first dressing was removed after 5 days, and 59 simple TOBs, skin grafts in the head and neck receiving the double-TOB required less time to heal. 20 Recommendation: Although TOB is a reproducible method of fixation, its influence on graft take is equivocal. Alternatives are available for use: (i) peripheral sutures for small FSGs, (ii) foam sponge bolsters in topographically challenging and sensitive areas, and (iii) relook methods in higher-risk cases to facilitate early graft check.…”

Section: Tie-over Bolster Compared With No Tobmentioning

confidence: 99%

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Safeguarding Skin Grafts

Patel

Asher²,

Bystrzonowski³

et al. 2021

Ann Plast Surg

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Background Effective skin graft fixation is vital in preventing sheering forces, seroma, and hematoma from compromising graft take. Yet, selecting the ideal technique for securing skin grafts remains a contentious subject, with significant variation in practice existing between surgeons. There is, therefore, benefit to be derived from assessing the literature for evidence-based recommendations to guide the decision-making process. Methods A search of Medline and Embase was performed using appropriate key terms, yielding 419 articles. Reference lists were analyzed. Inclusion and exclusion criteria were composed. Level I to III studies, as defined by the Centre for Evidence-Based Medicine, that compared skin graft fixation methods were analyzed. Rayyan QCRI was used for abstract and title screening. After full text screening, 41 studies were included for qualitative analysis. All included randomized control trials (RCTs) were assessed for risk of bias using the Cochrane Risk-of-Bias 2 (ROB2) tool. Results We identified 4 groups of fixation technique: “tie-over bolster” (TOB), “no TOB,” “adhesive glues,” and “negative pressure wound therapy” (NPWT). Twelve studies compared TOB with no TOB, with no difference in graft take demonstrated. Sixteen studies compared adhesive glues with traditional methods, with no difference in graft take demonstrated. Thirteen studies compared NPWT with traditional methods, with enhanced graft take demonstrated. Risk of bias was deemed low in 1 of 13 RCTs. Conclusions Based on the current evidence, only NPWT is associated with enhanced graft take. However, there is a scarcity of robust level I evidence comparing different fixation techniques, meaning that strong recommendations cannot be made. We propose examples of hypothesis-driven RCTs, in predetermined clinical settings, based on the theoretical benefits of the techniques that would add value to clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Tie-over Bolster Compared With No Tobmentioning

confidence: 99%

Safeguarding Skin Grafts

Patel

Asher²,

Bystrzonowski³

et al. 2021

Ann Plast Surg

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“…The remaining three studies compared the tie-over dressing against “non-tie-over dressings” ( n = 71),[ 71 ] hydrocolloid dressings ( n = 62),[ 72 ] and double-tie over dressings ( n = 128). [ 73 ] No significant differences were found between groups.…”

Section: R Esultsmentioning

confidence: 98%

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

Steele

Brown

Xie

2020

J Cutan Aesthet Surg

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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.

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Effectiveness of double tie-over dressing compared with bolster dressing

Cited by 2 publications

References 13 publications

Safeguarding Skin Grafts

Safeguarding Skin Grafts

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

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