Gently "scoop out" INTEGRA™
Bilayer Matrix Wound Dressing sheets from the
holding basin
with gloved hands and place directly onto the wound
Be sure the silicone side is facing up and the Collagen-GAG
matrix is against the wound bed
INTEGRA™ Bilayer Matrix Wound
Dressing must conform to and be in contact with the
prepared wound bed
Do not try to move or "float"
sheets like a split thickness skin graft. Instead, lift
sheets up and reposition
These are two basic application
techniques:
(1) Place sheets on prepared wound bed.
Affix sheets parallel to inside edges by sutures,
staples, or other suitable alternative.
Trim excess; or
(2) Place sheet
on prepared wound bed. Trim sheet to fit site. Affix
sheets perpendicular to
seam by sutures, staples, or other suitable
alternative.
Note: For Patients
that are prone to keloid formation, it is recommended
to place staples parallel to seams approximating healthy
tissue
Cut sheets to avoid gaps
Place seam lines along Langer's
Lines to reduce risk of contracture
INTEGRA™
Bilayer Matrix Wound Dressing can overlap healthy tissue
by 1 to 2 mm
In a staged procedure, do not place
INTEGRA™ Bilayer Matrix
Wound Dressing in contact with non-viable tissue,
rather maintain a safety margin between the prepared
wound bed and any non-viable tissue
Make sure INTEGRA™
Bilayer Matrix Wound Dressing lays flat with
no wrinkles or bubbles
