| Wound Bed Preparation
- Section Summary |
|
In this section, you have learned:
- A prepared wound bed must be free
from contamination and infection. All necrotic and devitalized
tissue must be removed. Pre-Operative routines should
follow normal surgical center protocols. This may include
the use of systematic broad spectrum antibiotics. If
wound infection is detected, treat topically and/or
systemically according to unit protocols.
- To achieve an adequate vascular supply
prior to the application of INTEGRA™
Meshed Bilayer Wound Matrix. Punctate,
uniform capillary bleeding indicates adequate removal
of the affected tissue. Signs of a viable wound bed
include white dermis, pure yellow fat and glistening
fascia.
- The wound bed must be dry with no
signs of bleeding. Meticulous hemostasis needs to be
achieved to prevent hematomas or excessive fluid accumulation.
Epinephrine, pinpoint electrocaudary, thrombin spray,
thrombin-soaked gauze or other topical hemostats should
be used. Avoid broad area cauterization which can lead
to devitalized tissue.
- To ensure intimate contact with INTEGRA™ Meshed Bilayer Wound Matrix the wound bed must
be uniform and flat. Achieve level tissue planes and
when necessary, marsupialize edges to avoid large step-offs
between the wound bed and normal skin.
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