Rationale: Securing and protecting the transplanted skin grafts in the cervical and scapular regions posttransplantation is challenging. Patient concerns: A 42-year-old male was admitted for the treatment of burns in the neck and scapular regions. Due to the large size of the burn wounds in these areas, combined with the fact that a tracheostomy and intubation had already been performed, securing the skin grafts was challenging. During the first surgery, a tie-over dressing fixation method was used, but the survival rate of the transplanted skin was suboptimal. Diagnoses: The patient was diagnosed with third-degree burns in the neck and scapular regions, requiring surgical skin grafting for reconstruction. Interventions: Surgical gloves were used to secure and protect the skin grafts during cervical and scapular skin grafting. After debridement and skin grafting of the burn wounds in these areas, multiple layers of sterile gauze were applied over silver-containing dressings. Surgical gloves, cut and applied in a “shingle-like” fashion, were tensionally wrapped over the gauze. The edges of the gloves were sutured to the surrounding healthy skin to ensure proper fixation. Outcomes: When the dressing was removed 3 days later, the skin grafts were found to be well-fixed and viable. Lessons: Surgical gloves, being readily available, easily modifiable, and simple to apply, offer significant benefits for securing skin grafts in challenging areas such as the cervical and scapular regions.
Liu et al. (Fri,) studied this question.