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