Intra-Operative Guidelines
    Estimating the Number and Size of Sheets
    Product Preparation
    Meshing and Handling
    Stapling and Suturing
  Post-Op Care

Placement, Shaping and Cutting
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Placement, Shaping and Cutting

  • Gently "scoop out" sheets from the holding basin with gloved hands and place directly onto the wound bed (Silicone Side Up)
  • Do not try to move or "float" sheets like a STSG. Instead, lift sheets up and reposition
  • These are two basic application techniques:

        (1) Place sheets on excised wound bed, staple parallel to inside edge of wound bed and trim
        excess; or

        (2) Place sheet on excised wound bed, trim sheet to fit site, and staple perpendicular to seam
        (this allows staples to be placed across seams)

    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 and overlaps
  • Place seam lines along Langers Lines to reduce risk of contracture
  • In a staged procedure, do not place INTEGRA Template in contact with un-excised necrotic
    tissue, rather maintain a safety margin between the excised wound bed and any non-excised necrotic tissue
  • Make sure INTEGRA Template lays flat with no wrinkles or bubbles
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