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Updated: Feb 12, 2026

Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
Published on: November 6, 2018
Original and modified technique of tie-over dressing: Method and application in burn patients
Rebecca Bern1, Kevin Serror1, Rémi Alvo1
1Department of Burn Care, Saint-louis Hospital, 1, Avenue Claude Vellefaux, 75010 Paris, France.
Abstract:
In burn patients, meshed split thickness skin grafts are commonly used on large and non-flat areas whom immobilization is difficult to achieve. The frequent mobilizations of burn patients can make the graft slip and prevent the revascularization and therefore the taking of the skin graft. In order to prevent this pitfall, we modified and adapted the tie-over dressing procedure. The giant running tie-over dressing enables large skin grafts to be applied to their wound bed and therefore helps revascularization. Some cautions are necessary in order to avoid any infection. This original and easy-to-perform procedure answers to the difficulties of large split-thickness skin grafts in burn patients.
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