|Application - Section
In this section, you have learned:
- Estimate the number and size of sheets,
and anticipate when the product will be needed. Begin
rinsing sheets to allow for a 1-2 minute hydration in
saline before wound bed prep has been completed. Follow
product preparation protocol as outlined in this course.
When removing the INTEGRA Meshed Bilayer Wound Matrix from the foil pouch use
gloved hands (do not use instruments).
- When placing, shaping and cutting
the INTEGRA Meshed Bilayer
Wound Matrix, gently remove sheets from the holding
basin with gloved hands and place directly onto the
wound bed. Do not try to move or "float" sheets
like a STSG; instead, lift sheets up and reposition.
Place sheets on prepared wound bed, affix parallel to
inside edge of wound bed and trim excess; or, place
sheet on prepared wound bed, trim sheet to fit site,
and affix perpendicular to seam (place staples across
seams). Cut sheets to avoid gaps and be sure to place
seam lines along Langer's Lines to reduce risk of contracture.
Make sure INTEGRA Meshed
Bilayer Wound Matrix lies flat with no wrinkles
- In a staged procedure, do not place
INTEGRA Meshed Bilayer Wound Matrix
in contact with non-viable tissue, rather maintain a
safety margin between the prepared wound bed and any
- Stapling, suturing or other suitable
alternative may be used when applying INTEGRA Meshed Bilayer Wound Matrix; however, with either technique
remove all air bubbles. Fix sheets independently and/or
affix 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.
- It is recommended that dressings
be built in layers and to inspect for hematoma and seroma
formation upon dressing changes
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