Foam and staple dressings for skin grafts on fragile leg skin: a simple solution

Foam and staple dressings for skin grafts on fragile leg skin: a simple solution Eur J Plast Surg (2007) 30:51–52 DOI 10.1007/s00238-007-0132-z LETTER TO THE EDITOR Foam and staple dressings for skin grafts on fragile leg skin: a simple solution Manish Sinha Received: 28 March 2007 /Accepted: 2 April 2007 / Published online: 24 April 2007 Springer-Verlag 2007 Sir; Ever since it’s first description [1], foam and staple fixation of a skin graft dressing has been a popular way of skin grafting [2]. Elderly patients who need excision of lesions on the lower legs frequently have such fragile skin that the use of this dressing or even a conventional tie over dressing is precluded for the fear of staples or sutures acting as cheese wires on the skin. Although such grafts can be managed with other dressings, for surgeons who like their ‘foam and staples’, I would like to suggest a simple solution. Once the graft is fixed to the wound bed, the skin around is dried of blood, half inch steristrips are applied at the periphery of the skin graft on the dry skin (Fig. 1). I use jellonet and proflavine wool to fill the defect and then use a thin layer of Fig. 2 Staple fixation of foam on the ‘steristripped’ http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Foam and staple dressings for skin grafts on fragile leg skin: a simple solution

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Publisher
Springer-Verlag
Copyright
Copyright © 2007 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-007-0132-z
Publisher site
See Article on Publisher Site

Abstract

Eur J Plast Surg (2007) 30:51–52 DOI 10.1007/s00238-007-0132-z LETTER TO THE EDITOR Foam and staple dressings for skin grafts on fragile leg skin: a simple solution Manish Sinha Received: 28 March 2007 /Accepted: 2 April 2007 / Published online: 24 April 2007 Springer-Verlag 2007 Sir; Ever since it’s first description [1], foam and staple fixation of a skin graft dressing has been a popular way of skin grafting [2]. Elderly patients who need excision of lesions on the lower legs frequently have such fragile skin that the use of this dressing or even a conventional tie over dressing is precluded for the fear of staples or sutures acting as cheese wires on the skin. Although such grafts can be managed with other dressings, for surgeons who like their ‘foam and staples’, I would like to suggest a simple solution. Once the graft is fixed to the wound bed, the skin around is dried of blood, half inch steristrips are applied at the periphery of the skin graft on the dry skin (Fig. 1). I use jellonet and proflavine wool to fill the defect and then use a thin layer of Fig. 2 Staple fixation of foam on the ‘steristripped’

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2007

References

  • A new approach to the management of pretibial lacerations
    Silk, J

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