Reusable Loop Suture Techniques to Secure and Allow Graft Reinspection

In the typical skin graft, the graft bolster is tied down by placing simple interrupted sutures from the graft to the perigraft skin (1). In the classic example, the simple interrupted sutures are tied down firmly and typically have long suture tails (single or double threaded) with which to tie the bolster. If the graft needs to be inspected to remove a hematoma or seroma, the interrupted sutures are cut. Thereafter to ensure graft ‘‘take,’’ a new bolster is applied. In this situation, another round of local anesthetic is injected into the perigraft skin and more sutures are placed as described above.