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Excision
 
    Intra-Operative Guidelines
    Estimating the Number and Size of Sheets
    Product Preparation
 
    Placement, Shaping and Cutting
    Stapling and Suturing
    Dressings
    Summary
  Post-Op Care
  Summary
   


Meshing and Handling
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Non-Crushing Mesher

  • Use 4 x 10 inch sheets to avoid folding
  • Sheets can be meshed after rinsing
  • Run sheets through a "non-crushing" mesher
  • Handle sheets with gloved hands, do not use instruments
  • Mesh sheets 1:1, but do not expand. DO NOT re-mesh the pre-meshed product.

Advantages

  • Minimizes fluid accumulation under the graft
  • Minimizes amount of graft loss in the event of hematoma
  • Minimizes the risk of graft loss in the event of bacterial colonization
  • May allow topical antimicrobials to penetrate the wound site
  • May improve the ability to conform over irregular surfaces

 
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