Tie-over dressings in full-thickness skin grafts

Dermatol Surg. 2008 Jan;34(1):40-3; discussion 44. doi: 10.1111/j.1524-4725.2007.34006.x. Epub 2007 Dec 5.

Abstract

Background: A full-thickness skin graft is often performed by tie-over dressing to compress and immobilize it.

Objective: The aim of this study was to compare the results of a full-thickness skin graft with tie-over dressing performed with the classic technique and with simple dressing.

Methods and materials: This was a prospective study in which 25 patients had tulle gras jelly tie-over dressing and 25 patients had a simple tulle gras dressing after full-thickness skin graft for nipple areola reconstruction.

Results: Graft success on the fifth day was evaluated at 100% for patients with a simple dressing and at 99% for those with tie-over dressing.

Conclusions: In this study, simple dressing appeared to be at least as effective as the tie-over dressing. Simple dressing, however, was faster and left fewer residual marks than the tie-over dressing.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Bandages*
  • Female
  • Humans
  • Mammaplasty / methods*
  • Middle Aged
  • Nipples / surgery*
  • Prospective Studies
  • Skin Transplantation / methods*
  • Suture Techniques