Redoable Tie-Over Dressing Using Multiple Loop Silk Threads
A 63-year-old male came to the hospital with skin defects in the left pretibia area that had appeared a month earlier. The patient possessed underlying diseases including diabetes, hypertension, and atherosclerosis obliterans (ASO) and was administered an anti-coagulant agent for the ASO. After wound debridement was carried out, the full thickness of skin obtained from the groin was grafted at the defect sites. Based upon his drug history, the possibility of hematoma was considered, so the tie-over dressing was opened two days after the surgery. Hematoma collection was confirmed and a tie-over dressing was performed again after the removal of the hematoma collection. The tie-over dressing was performed continuously until nine days after the surgery and the skin graft was well taken ().