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KMID : 0358820100370030313
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2010 Volume.37 No. 3 p.313 ~ p.316
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Easy Reproducible Tie-over Dressing using Silastic Drainage
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Kim Chan-Woo
Park Sang-Soon
Lee Yong-Jig
Shim Jeong-Su
Park Dae-Hwan
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Abstract
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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.
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KEYWORD
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Skin grafting, Dressing, Silastic drainage
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