Singh Hardeep, Aggarwal Aditya, Khazanchi Rakesh Kumar, Mahendru Sanjay, Brajesh Vimalendu, Singh Sukhdeep, Krishnan S
Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta - The Medicity, Gurgaon, Haryana, India.
Indian J Plast Surg. 2015 Jan-Apr;48(1):75-8. doi: 10.4103/0970-0358.155274.
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.
包扎固定常用于将移植物固定在创面，防止因血肿或血清肿导致移植物丢失。传统的用丝线进行包扎固定是将移植物固定于创面的一种有效方法。当需要重复进行包扎固定时，重新固定会很困难。我们评估了一种低成本的重复包扎固定方法，该方法在8例患者中使用无菌样本采集容器和丝线。将移植物铺于创面上后，进行包扎缝合，再用石蜡纱布覆盖并给予适当的衬垫；包扎缝线穿过容器，旋紧盖子以完成包扎。盖子可随时轻松拧开以检查移植物，且可在门诊轻松重新应用。所有患者的皮肤移植物均完全成活，未出现任何血清肿或血肿。本文报道了一种新颖且低成本的包扎固定方法，该方法能使包扎固定简单化，以维持需要重复固定的移植物的正确位置。
