title: Redoable tie-over dressing using multiple loop silk threads.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
authors.forename: Hyeon Jong
authors.initials: HJ
authors.lastname: Jo
authors.forename: Jun Sik
authors.initials: JS
authors.lastname: Kim
authors.forename: Nam Gyun
authors.initials: NG
authors.lastname: Kim
authors.forename: Kyung Suk
authors.initials: KS
authors.lastname: Lee
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Choi
keywords: Reconstructive surgical procedure; Skin transplantation; Surgical fixation devices