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


Stapling and Suturing
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Stapling and Suturing

  • Stapling or suturing may be used
  • Remove all air bubbles
  • Fix sheets independently and/or staple adjacent sheets together to minimize gaps, reducing granulation tissue formation
  • Interrupted stapling (i.e., leaving a 1-2 centimeter space between staples) can be used to
    seal edges
  • Plan staple lines carefully, follow Langer's Lines



Application Techniques

Application Techniques

  • Place INTEGRA Template following normal "Z Plasty" techniques to relieve tension over joints and minimize dislodgement
  • After initial stapling check for pulling or creases in the INTEGRA Template sheets - particularly when over joints

        - Cut to release tension

        - "Seal" the new cut edges with interrupted staples placed close together

 
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