Abstract
Background and Objectives: Skin grafting is an important method of resurfacing for raw areas. Tie over dressing with bolster and conventional gauze dressing have been used for the purpose of securing the graft. This study is performed to compare their efficacy and complications.
Material and Methods: A longitudinal study of 18 patients requiring skin grafting with tie over dressing and conventional dressing were selected for the study. A follow up was done to study and compare the complications in the subjects.
Results:The frequency of complications in tie over dressing was 11.1% in seroma, hematoma, wound infection, miscellaneous and mixed complications which was lower than the conventional dressing which had 22.2% in hematoma and graft loss (more than 5%) and 11.1% in seroma, wound infection, soakage, miscellaneous and mixed complications.
Conclusion: It was found that a tie over dressing is an important adjunct in certain specific anatomical locations of recipient graft site.
Keywords: Tie over Dressing, Bolster dressing, Conventional dressing, Skin graft
References
- Thorne CH, Beasley RW. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2007. Grabb, Smith. Plastic Surgery; p. 14.
- McGregor AD, Mc Gregor I. 10th ed. Philadelphia: Churchill Livingstone; 2004. Fundamental Techniques of Plastic Surgery; p. 39.
- Wells MD, Kirn DS. A new method of skin-graft stabilization: The Reston technique. Ann Plast Surg. 1995;34:554–6.
- Di Benedetto G, Pierangeli M, Scalise A, Andriessen A, Rowan S, Bertani A. An improved tie-over dressing technique for skin grafts using a hydrocellular dressing. Plast Reconstr Surg. 2000;106:507–9.
- Scherer LA, Shiver S, Chang M, Meredith JW, Owings JT. The vacuum assisted closure device: A method of securing skin grafts and improving graft survival. Arch Surg. 2002;137:930–3.
- Mathes S. 2nd ed. Philadelphia: Saunders Elsiever; 2006. Plastic Surgery; p. 309.
- Singh, H., Aggarwal, A., Khazanchi, R. K., Mahendru, S., Brajesh, V., Singh, S., & Krishnan, S. (2015). A simple and rapid method of repeated tie over dressing. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, 48(1), 75–78.
- Pelissier P, Martin D, Baudet J. The running tie-over dressing. Plast Reconstr Surg. 2000;106:1436–1437.
- Kim YO, Lee SJ, Park BY, Lee WJ. The tie-over dressing using skin -staples and round rubber bands. Br J Plast Surg 2005; 751-2.
- Kaplan HY. A quick stapler tie-over fixation for skin grafts.Ann Plast Surg 1989; 22:173–4.
- Koldas. A simple method for the classic tie-over dressing. Ann Plast Surg, 28 (4) (1992), pp. 386-387.
- Amir, A. Sagi, D.M. Fliss, L. Rosenberg. A simple, rapid, reproducible tie-over dressing. Plast Reconstr Surg, 98 (6) (1996), pp. 1092-1094 .
- Eroglu, M. Keskin, E. Guneren, O.A. Uysal. Tie-over dressing using a buckle. Plast Reconstr Surg, 103 (7) (1999), pp. 2092-2093.
- Valdatta, A. Thione, M. Buoro, S. Tuinder, C. Mortarino, C. Fidanza, et al. The reproducible tie-over dressing. Plast Reconstr Surg, 112 (2) (2003), p. 708.
- D.A. Burd. The pressure button: a refinement of the traditional “tie-over” dressing. Br J Plast Surg, 37 (1) (1984), pp. 127-129.
Corresponding Author
Tanmay Prasad
Resident MCh, Department of Plastic Surgery, RRMCH
Email- This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.122
