J Korean Soc Plast Reconstr Surg.
2010 May;37(3):313-316.
Easy Reproducible Tie-over Dressing using Silastic(R) Drainage
- Affiliations
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- 1Department of Plastic and Reconstructive Surgery, Daegu Catholic University, Daegu, Korea. psman007@gmail.com
Abstract
- PURPOSE
Tie-over dressing is widely used to secure skin grafting on face, body, or extremities. It can be a rather complicated task and is not easy to make compressive dressing again if performed in a conventional method. So, we hereby introduce an easy reproducible tie over dressing method.
METHODS
After completing the skin graft, Cut the silastic drainage longitudinally in half and spread to the grafted skin margin. Drainage is fixed by using the stapes or sutures. A fluffy gauze bolus dressing is placed over a furacin impregnated gauze and wrapped around. After suturing the distal margin of silastics with opposite side using the silk thread either 5-0 or 3-0, knot of suturing, which is pressed down against the dressing while the threads are tightened, is made into center of each sides.
RESULTS
It can make dressing again after observing the grafted skin, and it can also make pressure on the grafted area evenly until the grafted skin is taken.
CONCLUSION
This dressing method makes the surgeons and patients comfortable. To surgeons, it provides more rapid and easier way to do dressing, and to patients, it eliminates pain caused by redressing.
