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Wound Bed Preparation
 
    Application Guidelines
    Estimating the Number and Size of Sheets
    Product Preparation
 
    Stapling and Suturing
    Dressings
    Summary
  Post-Op Care
  Summary
   


Placement, Shaping and Cutting
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  • Gently remove INTEGRA™ Matrix Wound Dressing sheets from the holding basin
    with gloved hands and place directly onto the wound
  • If you are using INTEGRA™ Bilayer Matrix Wound Dressing in combination with INTEGRA™ Matrix Wound Dressing, be sure the silicone side of the Bilayer Matrix Wound Dressing is facing up and the Collagen-GAG matrix is lying against the INTEGRA™ Matrix Wound Dressing
  • INTEGRA™ Matrix Wound Dressing must conform to and be in contact with the prepared wound bed and the INTEGRA™ Bilayer Matrix Wound Dressing if using the two products in combination
  • Do not try to move or "float" sheets like a split thickness skin graft. Instead, lift sheets up and reposition
  • There are two basic application techniques:

        (1) Place sheets on prepared wound bed. Affix sheets parallel to inside edges by sutures,
        staples, or other suitable alternative. Trim excess; or

        (2) Place sheet on prepared wound bed. Trim sheet to fit site. Affix sheets perpendicular to
        seam by sutures, staples, or other suitable alternative.

    Note: For Patients that are prone to keloid formation, it is recommended to place staples parallel to seams approximating healthy tissue

  • Cut sheets to avoid gaps
  • Place seam lines along Langer's Lines to reduce risk of contracture
  • INTEGRA™ Matrix Wound Dressing can overlap healthy tissue by 1 to 2 mm
  • In a staged procedure, do not place INTEGRA™ Matrix Wound Dressing in contact with non-viable tissue, rather maintain a safety margin between the prepared wound bed and any non-viable tissue
  • Make sure INTEGRA™ Matrix Wound Dressing lays flat with no wrinkles or bubbles
 
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