A new "double tie-over method" and its applications.

The tie-over method which has been commonly used for skin grafts has some problems. The dressing is large and grafted skin can shift easily due to lateral pressure causing hematoma and secondary necrosis. There was a stronger tendency to observe this in axillary and anal skin grafts.Thus, the "new double tie-over type dressing" (double tie-over method) was developed (2, 3) for postoperative application after subcutaneous shaving for hircismus and hyperhidrosis and excellent results were obtained. The dressing is smaller in volume and shifting of grafted skin does not occur with motion. This method was also applied for skin grafts of various areas and favorable results were obtained.This method is reported since it is an easy and safe procedure that can be applied for various types of skin graft.