Eur J Plast Surg (2011) 34:423 DOI 10.1007/s00238-011-0587-9 LETTER TO THE EDITOR Shaheel Chummun & Timothy S. Burge Received: 28 November 2010 /Accepted: 28 April 2011 /Published online: 13 May 2011 Springer-Verlag 2011 Sir, The circumferential application of Gamgee (Gauze tissue BP) dressings over large areas of burns and wounds on the torso and proximal limbs is well-established, provid- ing a dressing that is quick, neat and secure . However, the application of Gamgee to the lower limb can sometimes be awkward. The thigh often has a bigger Fig. 2 The excess Gamgee (marked) is designed as the turnover flap circumference than the leg, resulting in an excess of Gamgee over the leg and a corresponding deficiency over the thigh area (Fig. 1). An elegant method of efficiently using all the available Gamgee is to design a turnover flap from the excess Gamgee over the leg area to cover the deficient area over the thigh. The flap is designed as shown (Fig. 2), cut up to the apex at the knee and ‘turned over’ into the deficient area (Fig. 3). The resulting flap and limb dressing can then be secured with staples, Surgifix™ netting or crepe Fig. 3 The flap is turned and secured bandage. We find this method to be an economical, fast and efficient way of dressing the whole leg. Reference Fig. 1 Deficiency and excess of Gamgee over thigh and leg respectively, 1. Sylaidis P (1996) Staples and Gamgee for securing large-area burns as a result of unequal circumference dressings. Burns 22(6):488–489 S. Chummun (*) T. S. Burge Department of Plastic Surgery, Frenchay Hospital, Bristol BS16 1LE, UK e-mail: email@example.com T. S. Burge e-mail: Timothy.Burge@nbt.nhs.uk
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2011
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