Abstract

Full-thickness skin grafts (FTSGs) are usually secured with tie-over bolster dressings, quilting (or basting) sutures or a combination of both. This guide describes a modified technique of securing FTSGs by way of a continuous quilting suture to increase surgical efficiency. Stabilisation and prevention of haematoma are two important factors to allow a skin graft to take to its recipient site. This is most commonly provided by a tie-over dressing after suturing the graft in place. The technique of utilising quilting sutures placed in the graft as an alternative to bolster dressings has also been well documented. There has been no evidence to suggest a difference in rates of haematoma, seroma, neovascularisation and graft survival between these two techniques.

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