Complications - Areas of Non-Take

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Areas of incomplete INTEGRA^® Template take can result from mechanical dislodgement (due to shear, improper splinting, PT), infection, hematoma, granulation tissue formation, premature silicone separation or damaged matrix. Identification of poor INTEGRA^® Template take is characterized by poor color and
lack of adherence. The matrix will move laterally under finger pressure.

Intervention:

• Small areas (under 2 sq cm) should be monitored for infection but not removed until time of epidermal grafting
  
• Large areas (over 2 sq cm) should be removed and treated by either:

  1. Re-application of new INTEGRA^® Template, or

  2. Application of a split-thickness skin graft

 

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