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The tie-over method is generally used for fixation after suturing of skin grafts. However, suturing and fixation of skin grafts for extensive burns and ulcers are time-consuming, and tissue damage may occur when there is scarring of the surrounding tissue. In addition, the removal of sutures takes time and is painful. Therefore, we developed a modified skin graft fixation method. Here, we present the application of this modified skin graft fixation method in nine patients. Material and methods: The study included nine patients (six males, three females) with age ranging from 34 to 70 years and mean age of 55 years. The cause of injury was burn in five cases, with heat press, necrosis due to infection, skin necrosis owing to hematoma, and electrical injury in one case each. This study included mesh skin grafting in three cases, sheet skin grafting in four, and both in two cases. The size of the skin grafts ranged from 30 cm–400 cm with a mean of 203 cm. The skin graft was not sutured; instead, it was fixed with a silicon contact layer and negative pressure wound therapy (NPWT). Results: This method was successful in all cases. Conclusions: This simple and rapid method allows successful skin graft fixation without graft suturing.

Suture-less Skin Graft Fixation Using Soft Silicon Contact Layer