Staged Tie-Over Dressing Technique

Sarifakioglu, Nedim; Gökrem, Serdar; Yüksel, Ayşe; Aslan, Gürcan

doi:10.1097/01.prs.0000084606.17114.27

Cited by 6 publications

(2 citation statements)

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“…[ 8 ] When taking a tie over stitch, both the threads can be left long and only one thread is tied at a time, the other thread is left long for next time. [ 9 ] This dressing can be reapplied only twice. Repeated tie over dressings are also done using bra hooks,[ 10 ] and silk loops.…”

Section: Discussionmentioning

confidence: 99%

A simple and rapid method of repeated tie over dressing

Singh

Aggarwal

Khazanchi

et al. 2015

Indian J Plast Surg

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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.

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Section: Discussionmentioning

confidence: 99%

A simple and rapid method of repeated tie over dressing

Singh

Aggarwal

Khazanchi

et al. 2015

Indian J Plast Surg

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“…3 When taking a tie over stitch, both the threads can be left long and only one thread is tied at a time, the other thread is left long for next time. 4 This dressing can be reapplied only twice. Repeated tie over dressings are also done using bra hooks, 5 and silk loops.…”

mentioning

confidence: 99%

An innovative method of repeated tie-over dressing for fixation of skin graft

Wani

Habib

Andejani

et al. 2015

Nigerian J Plast Surg

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Reconstruction of any soft tissue defect is managed as per conventional reconstructive ladder. The options range from healing by secondary intention, primary closure, skin graft and flaps. Skin graft is one of the commonest methods of reconstruction. For proper take of skin graft, the graft needs to be adherent to the wound bed for first few days. The fixation should not allow any hematoma or seroma formation under the graft. This is achieved by fixing the skin graft with tie over dressing using multiple silk sutures. Repeated tie over dressing is needed in the settings where graft needs to be inspected frequently. 1Four patients having recurrent and huge keloids on anterior chest wall in the presternal region were referred from radiation oncology department for possible excision and postoperative radiotherapy. All these patients have previously undergone multiple treatments of their keloids in the form injections and local excisions with out any benefit. The patients were accepted by radiation oncology and were found candidates for immediate radiotherapy after excision of keloid.In all patients keloids were excised and the soft tissue defect was covered by full thickness skin grafts harvested from groin. The skin grafts were immobilized by tie over dressing in an innovative way. In this method the normal saline bottle used for irrigation was cut at its neck (Figure 1). The skin graft was fixed by cyanoacrylate skin glue and tie over dressing using 2-0 silk sutures. All the patients gave a written informed consent for their inclusion in the study.

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