실라스틱(Silastic$^{(R)}$) 배액관을 이용한 간편한 봉합고정 드레싱

Easy Reproducible Tie-over Dressing using Silastic$^{(R)}$ Drainage

  • 김찬우 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 박상순 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 이용직 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 심정수 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 박대환 (대구가톨릭대학교 의과대학 성형외과학교실)
  • Kim, Peter Chan Woo (Department of Plastic and Reconstructive Surgery, Daegu Catholic University) ;
  • Park, Sang-Soon (Department of Plastic and Reconstructive Surgery, Daegu Catholic University) ;
  • Lee, Yong-Jig (Department of Plastic and Reconstructive Surgery, Daegu Catholic University) ;
  • Shim, Jeong-Su (Department of Plastic and Reconstructive Surgery, Daegu Catholic University) ;
  • Park, Dae-Hwan (Department of Plastic and Reconstructive Surgery, Daegu Catholic University)
  • 투고 : 2009.09.22
  • 심사 : 2010.04.07
  • 발행 : 2010.05.10

초록

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.

키워드

참고문헌

  1. Paletta CE, Pokorny JJ, Rumbolo PM: Skin graft. In Mathes SJ: Plastic Surgery 2nd ed, Philadelphia, WB Saunders company, 2006, p 293
  2. Ogawa R, Hyakusoku H, Ono S: Useful tips for successful skin graft. J Nippon Med Sch 74: 386, 2007 https://doi.org/10.1272/jnms.74.386
  3. Kim HS, Ha BJ, Kim JJ, Park WJ, Lee JS, Shin MS, Song IC: Simple method of tie-over dressing. J Korean Soc Plast Reconstr Surg 25: 503, 1998
  4. Lee SJ, Kim YO, Park BY: A simple and rapid tie-over dressing with skin stapler and round rubber band. J Korean Soc Plast Reconstr Surg 30: 359, 2003
  5. Park DH, Kim JH, Park MC, Lee IJ: Simple and effective tie-over dressing in split thickness skin graft. J Korean Soc Plast Reconstr Surg 31: 266, 2004
  6. Kajikawa A, Ueda K, Katsuragi Y, Momiyama M, Yana Y: One-side mattress suturing technique for tie-over dressing. Plast Reconstr Surg 123: 222e, 2007
  7. Ren J, Yiang QJ, Deng B, Yiang YN: Transparent gasbag tie-over for persistent pressure and inspection in free skin grafting. Plast Reconstr Surg 95: 396, 1995 https://doi.org/10.1097/00006534-199502000-00024
  8. Valdatta L, Thione A, Buoro M, Tuinder S, Mortarino C, Fidanza C, Barbieri B: The reproducible tie-over dressing. Plast Reconstr Surg 112: 708, 2003 https://doi.org/10.1097/00006534-200308000-00077