Planning removal of silicone from
INTEGRA™ Meshed Bilayer Wound Matrix
1. Estimate the size of the epidermal
graft
2. Determine if the expanded graft will cover the INTEGRA™
Meshed Bilayer Wound Matrix. If not, then
staged or delayed epidermal grafting is necessary
Note
- Do not remove silicone and expose
more tissue than expanded epidermal graft will cover
- If staged grafting is necessary,
the silicone layer may be left in place for extended
periods
or until donor sites are ready for re-harvesting
Silicone Removal
- If edges of INTEGRA™
Meshed Bilayer Wound Matrix are loose before
full healing has occurred, the silicone can be trimmed
away from the loose areas until the entire wound has
healed
- Remove the silicone layer of the INTEGRA™
Meshed Bilayer Wound Matrix when the tissue underneath
is healed, typically 14 to 28 days. The Matrix may be
loose in spots.
- With forceps peel back the silicone
carefully from the edges. Separate with spatula or blunt
instrument if necessary. The silicone layer will peel
off healed tissue relatively easily.
- Difficult removal may indicate the
tissue is not completely developed
Caution: If bleeding occurs,
or if patient complains of excessive pain, stop and wait
1 to 2 additional days. Forced removal may result in wound
re-injury.
