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  Wound Bed Preparation
  Application
    Scaffold Remodeling
 
    Hematoma
    Fluid accumulation
    Purulence/infection
    Premature Silicone Separation
    Summary
Summary
   


Inspection and Care of the Site
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During the early stages of development take note of the following:

  • Remove all dressings to inspect INTEGRA™ Meshed Bilayer Wound Matrix sites, seams, and edges for evidence of hematomas, fluid accumulation, infection/purulence, and areas of non-take.
  • If used, re-moisten antimicrobial dressings after INTEGRA™ Meshed Bilayer Wound Matrix inspection. Irrigation tubing can be used to re-moisten or re-apply without removing dressings.
  • Re-moisten or re-apply antimicrobial dressings as needed, typically every eight hours, or more often for dry climates
  • Replace or change antimicrobial dressings at least every three days. Note: For heavily draining wounds, more frequent dressing changes may be necessary.

When removing dressings to inspect INTEGRA™ Meshed Bilayer Wound Matrix sites, care should be taken to avoid dislodgement. As you gain experience with INTEGRA™ Meshed Bilayer Wound Matrix, your frequency of inspection and dressing changes is likely to change from this schedule.


When Used With Negative Pressure Therapy

  • Utilize Negative Pressure Wound Therapy Device according to manufaturer’s instructions
    paying special attention to wound monitoring
  • During dressing changes, carefully remove the Negative Pressure Wound Therapy device
    and secondary dressing, foam or film, using caution to not disrupt the INTEGRA™ Meshed Bilayer Wound Matrix
  • Discontinue Negative Pressure Wound Therapy when the collagen matrix has been integrated
    and the silicone has separated from the INTEGRA™ Meshed Bilayer Wound Matrix (typically 14-28 days)


    When using Negative Pressure Wound Therapy, the above referenced time frame may be reduced.

Movement / Outpatient Care

As shearing will result in the NON-TAKE of INTEGRA™ Meshed Bilayer Wound Matrix, the goal for the staff and patient is to minimize these forces on the INTEGRA™ Meshed Bilayer Wound Matrix site. Bolsters, splints, casts and Ace Wrap compression will help protect from friction and will reduce the likelihood of the product shearing from the excised bed.

 

 
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