Complete Removal of Non-Viable Tissue
    Uniform and Flat Wound Bed
    Adequate Vascular Supply
    Meticulous Hemostasis
    Infection Free Wound Bed
  Post-Op Care

Pre-Operative Guidelines
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  • Pre-Operative routines should follow surgical center protocol. This may include the use of systematic broad spectrum antibiotics.
  • Pre-Operative control of contamination may include the use of topical agents such as silver impregnated dressings
  • Preparation of the site to be excised should follow normal surgical center protocol. This may include the use of povidone iodine or chlorhexidine gluconate.

Additional Supplies

In addition to standard supplies, the following should be available:

  • Extra back table to hold a rinse basin, and sterile saline solution for rinsing the INTEGRA™ Meshed Bilayer Wound Matrix
  • Excisional devices (i.e., scalpel, Versajet™ Hydrosurgery system, Curettes, Dermabrader)
  • Extra electrocautery instrumentation (e.g., bovie, double plug, bipolar) for pin-point coagulation
  • Antimicrobial agents/dressings (e.g., Acticoat™ silver impregnated dressing, Sulfamylon® Solution 5%, silver nitrate solution 0.5%, AQUACEL® Ag Hydrofiber® Dressing, Silverlon® dressing)
  • Compression dressings/wraps
  • Splints and braces

Acticoat and Versajet are trademarks of Smith & Nephew, Inc.
AQUCAEL® Ag and Hydrofiber® Dressing are registered trademarks of ER Squibb & Sons, LLC.
Silverlon is a registered trademark of Argentum Medical LLC.
Sulfamylon is a registered trademark of Mylan Bertek Pharmaceuticals, Inc.



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