Stapling and Suturing

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• Stapling, suturing or other suitable alternative may be used
  
• Any air bubbles should be carefully removed to maintain contact with the wound
  
• Fix sheets independently and/or affix adjacent sheets together to minimize gaps so granulation tissue formation is reduced
  
• 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

Application Techniques

• Place INTEGRA™ Meshed Bilayer Wound Matrix following normal "Z Plasty" techniques to
  relieve tension over joints and minimize dislodgement
  
• After initial stapling check for pulling or creases in the INTEGRA™ Meshed Bilayer Wound
  Matrix sheets - particularly when over joints

      - Cut to release tension

      - "Seal" the new cut edges with interrupted staples placed close together

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When Used With Negative Pressure Therapy

• Apply Negative Pressure Wound Therapy Device according to manufacturer’s instructions
  for use, paying specific attention to contraindications, warnings, and precautions
  
  
  Where applicable, follow instructions for “Meshed Grafts
  and Bioengineered Tissues”
  
• For pressure settings, refer to instructions for use for the specific device utilized and type
  of wound, if applicable

 

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