Outstanding Effect of Orange Oil Extract as Adhesive Remover with Less Pain in Grafting Procedure
Kris Keorochana MD*, Lertpong Somcharit MD*, Raywat Chunhasuwankul MD*, Banjerd Praditsuktavorn MD*, Pornprom Muangman MD*
Affiliation : * Division of Trauma Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background : Pain at dressing change is main concern because it affects patients’ distress. Generally, deep burns are not
spontaneously healed and require skin graft operation to cover the burn wounds. However, this method requires the staples
or sutures to fix the graft with wound bed and sometimes it also causes pain and uncomfort to the patients when upon staple
removal.
Objective : To demonstrate new technique of skin grafting.
Material and Method: In this case report, authors demonstrated a new technique of skin graft operation without staples by
using sterile Fixomull® stretch, which is a non-woven adhesive tape to secure the skin graft on the wound bed, and orange oil
extract (SOS Plus adhesive remover, Bangkok Medisupply, Thailand) to remove the dressing at the time of recipient site
opening.
Results : The graft was observed to have taken 100 percent upon opening the dressing and after adhesive tape removal by
orange oil extract.
Conclusion : This successful technique can decrease patients’ pain, costs of operation, early mobilization and improved
quality of wound care.
Keywords : Pain, Dressing change, Orange oil, Citrus oil, Skin graft
