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Ascari Raccagni A. 1,2, Dondas A. 3, Righini M. G. 1, Trevisan G. 3
1 Unità Operativa di Dermatologia, Ospedale “G. B. Morgagni, L. Pierantoni”, Azienda Unità Sanitaria Locale di Forlì, Forlì, Italia
2 Clinica Dermatologica, Master in Chirurgia Dermatologia, Università degli Studi di Siena, Siena, Italia
3 Clinica Dermatologica, Università degli Studi di Trieste, Trieste, Italia
A novel method is proposed for securing bolster dressings over full-thickness skin grafts by means of a running suture fixed to the skin at opposite points along the perimeter of the wound and repeated passes through the dressing before being tied with a single knot. The technique refers to Jonathan Swift’s story of Gulliver being tied down by the Lilliputians. The authors describe their experience with the Lilliputian technique in the treatment of a voluminous basal cell carcinoma of the nasal ala. The tumor was excised and the resulting defect was repaired with a full-thickness skin graft harvested from the nasogenial fold. The technique is simple to learn and easy to perform; it allows for good compression and savings in suture material and operating time.
language: English, Italian