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    Complete Excision of Non-Viable Tissue
    Uniform and Flat Wound Bed
    Adequate Vascular Supply
    Meticulous Hemostasis
    Infection Free Wound Bed
    Summary
  Application
  Post-Op Care
  Summary
   


Pre-Operative Guidelines
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  • Pre-Operative routines should follow normal burn center protocols. This may include the use of systematic broad spectrum targeted antibiotics.
  • Pre-Operative control of contamination may include the use of topical agents such as silver impregnated dressings
  • Preparation of the site to be excised should follow normal burn center protocols. This may include the use of povidone iodine or chlorhexidine gluconate.
  • Early and complete excision (typically within 24 to 72 hours) of injury should be performed
  • If complete excision is not possible, a bacterial barrier must be created to separate the unexcised, contaminated area from INTEGRA® Template


Operating Room Supplies

In addition to standard OR supplies, the following supplies should be available in the OR:

  • Extra back table to hold 3 rinse basins, and at least 6 liters of sterile saline solution for rinsing alcohol from the INTEGRA® Template (an additional 4 liters will be needed for each additional 1-2 sheets)
  • Extra electrocautery instrumentation (e.g., bovie, double plug, bipolar) for pinpoint coagulation, sterile elastic net dressings (i.e., Stretchnet)
  • Antimicrobial agents/dressings (e.g., Acticoat* silver impregnated dressing, Sulfamylon Solution 5%, silver nitrate solution 0.5%)
  • Compression dressings/wraps
  • "Non-crushing" Mesher (if planning to mesh INTEGRA® Template 1:1)
  • Splints and braces
*Acticoat is a trademark of Smith & Nephew.
 
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