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A Journal on Dermatology

Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
Indexed/Abstracted in: EMBASE, Scopus



Esperienze Dermatologiche 2010 March;12(1):37-42

language: English, Italian

The Lilliputian technique in full-thickness skin grafts

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.

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