Dressings

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Kerlix fluffs are being used to ensure INTEGRA™ Meshed Bilayer Wound Matrix is in complete contact with the wound bed

• Fixation and compression are of significant importance. Elastic bandages, padded "tie-over" dressings, vacuum devices, splints and other methods, depending on the circumstances, should be used. This ensures that the INTEGRA™ Meshed Bilayer Wound Matrix adheres to and is in complete contact with the wound bed and prevents shearing and hematoma or seroma formation.
  
• Inspect for hematoma and seroma formation upon dressing changes
  
• Dressings can be attached by staples or other suitable methods. They will be left in place until the scaffold is remodeled and offers the following advantages:

      - Helps prevent dislodgement

      - Keeps INTEGRA™ Meshed Bilayer Wound Matrix in intimate contact with the wound bed
  
  

• Use a non-adherent dressing (e.g., ADAPTIC™, Mepitel®}
  
• Use topical antimicrobials such as silver impregnated dressings to help maintain a bacterial barrier over INTEGRA™ Meshed Bilayer Wound Matrix

Outer Dressings

• Apply outer absorbent dressings
  
• Use anti-shear dressings
  
• Use bolsters where appropriate

     - Keeps INTEGRA™ Meshed Bilayer Wound Matrix in intimate contact with the wound bed

     - Protects INTEGRA™ Meshed Bilayer Wound Matrix from shearing and detachment

• Use bandages to apply slight pressure over outer dressings
  
• Immobilize joints and limbs (e.g., by splints and casts) to prevent dislodgement

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When Used With Negative Pressure Therapy

• Utilize Negative Pressure Wound Therapy Device according to manufaturer’s instructions
  paying special attention to wound monitoring

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Note:

Do not let Dakins Solution, petroleum-based products, e.g., Xeroform, or enzymatic debridement agents, (e.g., Collagenase), come in contact with the INTEGRA™ Meshed Bilayer Wound Matrix application sites.

Use splints or bolsters, per unit protocols, during first 5-7 days. Splints should be applied and should stay on at all times (except when performing wound care).


ADAPTIC is a trademark of Systagenix Wound Management (US), Inc.
Mepitel is a registered trademark of Molnlycke Health Care

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