The Clinical Experience of Tie-Over Dressing Using Sponge.

Park, Chul Soo; Choi, Hee Youn; Lew, Jai Mann

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(1):148-154.
Published online January 1, 1999.

The Clinical Experience of Tie-Over Dressing Using Sponge.

Chul Soo Park, Hee Youn Choi, Jai Mann Lew

Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

The importance of dressing in the territory of plastic surgery has been greatly emphasized. Especially the tie-over dressing method is very effective method which has been widely used in the areas of skin graft, and after subcutaneous shaving for osmidrosis. However, the present tie-over dressing method, using cotton balls or gauze, is poses several problems. The damp areas produced by insufficient absorption of exudate, inappropriate and uneven pressure, and excessive pressure become susceptible to infection, conclusively leading to the decreased success rate. For the last three years, we have been using the sponge, replacing the cotton balls or gauze, in total 248 cases for compressive dressing of skin graft, conchal cartilage graft, dermofat graft and subcutaneous shaving of the osmidrosis. We conclude this new method has many benefits as well as the solutions to the problems of using cotton balls or gauze.