This video demonstrates the application of stapling and suturing INTEGRA in place.

Technique

• Stapling or suturing may be used
  
• Remove all air bubbles
  
• Fix sheets independently and/or staple adjacent sheets together to minimize gaps, reducing granulation tissue formation
  
• Interrupted stapling (i.e., leaving a 1-2 centimeter space between staples) can be used to
  seal edges
  
• Plan staple lines carefully, follow Langer's Lines

These are two basic application techniques:

       (1) Place sheets on excised wound bed, staple parallel to inside edge of wound bed and trim
        excess; or

       (2) Place sheet on excised wound bed, trim sheet to fit site,  and staple perpendicular to seam
       (this allows staples to  be placed across seams)

Note: For Patients who are prone to keloid formation, it is recommended to place staples parallel to seams approximating healthy tissue.