Tie-over bandage: Photo 4

Tie-over bandages can be used to hold a variety of primary dressings in place. The most common primary dressings include wet-to-dry dressings and nonadherent dressings. Wet-to-dry dressings typically include saline-soaked (isotonic or hypertonic) gauze sponges or laparotomy pads.

Nonadherent dressings usually consist of Telfa or Vaseline-impregnated gauze. The protective layer of the tie-over bandage should consist of a layer of sterile gauze sponges, towels or laparotomy pads. A water-resistant paper surgical drape can be cut to size and placed over the protective layer to prevent contamination if desired.

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Photo 1: Inguinal wound

Photo 2: Inguinal tie-over bandage

Photo 3: Large wound over the dorsum of the trunk

Photo 4: Trunkal tie-over bandage

Photo 5: Alternative technique for suture loop

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