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A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds

BACKGROUND: The most common cause of skin graft failure is the collection of blood or serous fluid underneath the graft. In our study, we describe the use of silicone tube for tie-over dressing to secure the skin graft margins with the aim of decreasing loss of the skin graft, particularly in grafti...

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Autores principales: Bektas, Cem Inan, Kankaya, Yuksel, Ozer, Kadri, Baris, Ruser, Aslan, Ozlem Colak, Kocer, Ugur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840177/
https://www.ncbi.nlm.nih.gov/pubmed/24286043
http://dx.doi.org/10.5999/aps.2013.40.6.711
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author Bektas, Cem Inan
Kankaya, Yuksel
Ozer, Kadri
Baris, Ruser
Aslan, Ozlem Colak
Kocer, Ugur
author_facet Bektas, Cem Inan
Kankaya, Yuksel
Ozer, Kadri
Baris, Ruser
Aslan, Ozlem Colak
Kocer, Ugur
author_sort Bektas, Cem Inan
collection PubMed
description BACKGROUND: The most common cause of skin graft failure is the collection of blood or serous fluid underneath the graft. In our study, we describe the use of silicone tube for tie-over dressing to secure the skin graft margins with the aim of decreasing loss of the skin graft, particularly in grafting of deep wounds. METHODS: Between March 2008 and July 2011, we used this technique in 17 patients with skin defects with depths ranging from 3.5 to 8 mm (mean, 5.5 mm). First, the skin graft was sutured with 3/0 silk suture material from its corners. Then, a silicone round drain tube was sutured with 3/0 absorbable polyglactin 910 over the margins of the graft. Finally, long silk threads were tied over the bolus dressing, and the tie-over dressing was completed in the usual fashion. RESULTS: The mean follow-up was 7 months (range, 2-10 months) in the outpatient clinic. Graft loss on the graft margins due to hematoma or seroma was not developed. The results of adhesion between the graft and wound bed peripherally was excellent. CONCLUSIONS: In our study, we suggest that use of a silicone tube for additional pressure on the edges of skin grafts in case of reconstruction of deep skin defects.
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spelling pubmed-38401772013-11-27 A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds Bektas, Cem Inan Kankaya, Yuksel Ozer, Kadri Baris, Ruser Aslan, Ozlem Colak Kocer, Ugur Arch Plast Surg Original Article BACKGROUND: The most common cause of skin graft failure is the collection of blood or serous fluid underneath the graft. In our study, we describe the use of silicone tube for tie-over dressing to secure the skin graft margins with the aim of decreasing loss of the skin graft, particularly in grafting of deep wounds. METHODS: Between March 2008 and July 2011, we used this technique in 17 patients with skin defects with depths ranging from 3.5 to 8 mm (mean, 5.5 mm). First, the skin graft was sutured with 3/0 silk suture material from its corners. Then, a silicone round drain tube was sutured with 3/0 absorbable polyglactin 910 over the margins of the graft. Finally, long silk threads were tied over the bolus dressing, and the tie-over dressing was completed in the usual fashion. RESULTS: The mean follow-up was 7 months (range, 2-10 months) in the outpatient clinic. Graft loss on the graft margins due to hematoma or seroma was not developed. The results of adhesion between the graft and wound bed peripherally was excellent. CONCLUSIONS: In our study, we suggest that use of a silicone tube for additional pressure on the edges of skin grafts in case of reconstruction of deep skin defects. The Korean Society of Plastic and Reconstructive Surgeons 2013-11 2013-11-08 /pmc/articles/PMC3840177/ /pubmed/24286043 http://dx.doi.org/10.5999/aps.2013.40.6.711 Text en Copyright © 2013 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bektas, Cem Inan
Kankaya, Yuksel
Ozer, Kadri
Baris, Ruser
Aslan, Ozlem Colak
Kocer, Ugur
A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
title A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
title_full A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
title_fullStr A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
title_full_unstemmed A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
title_short A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds
title_sort tie-over dressing using a silicone tube to graft deep wounds
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3840177/
https://www.ncbi.nlm.nih.gov/pubmed/24286043
http://dx.doi.org/10.5999/aps.2013.40.6.711
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