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


Dressings
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Dressings

Some modifications of the normal burn unit protocol may be required. The following techniques have been utilized:
  • Place an elastic net dressing over the INTEGRA Template site
  • Build dressings in layers
  • Check under dressings more frequently
  • The elastic net dressing can be attached by staples or other suitable methods. It will be left in
    place until the silicone is removed

        - Helps prevent dislodgement

        - Keeps INTEGRA Template in contact with excised wound bed

        - Easy to see through for observing Neodermis

  • When applied correctly, the expanded interstices will be open about 1-2 cm and the silicone
    will have slight indentations from the elastic net dressing
  • Apply non-adherent absorbent dressings as the inner dressing layer
  • Use topical antimicrobials such as silver impregnated dressings to help maintain a bacterial
    barrier over INTEGRA Template


Outer Dressings

Outer Dressings

  • Apply outer absorbent dressings
  • Use anti-shear dressings
  • Use bolsters where appropriate

       - Keep INTEGRA Template in intimate contact with the graft bed

       - Protect INTEGRA Template from shearing and detachment

  • Use bandages to apply slight pressure over outer dressings
  • Immobilize joints and limbs (e.g., by splinting) to prevent dislodgement

Note:

Do not let Dakins Solution, petroleum-based products, e.g., Xeroform, or enzymatic debridement agents, (e.g., Collagenase), come in contact with the INTEGRA Template grafted sites.

Use splints or bolsters, per unit protocols, during first 5-7 days. Splints should be applied in the OR and should stay on at all times (except when performing wound care).

The VAC (Vacuum Assisted Closure)* may be used over unmeshed or meshed INTEGRA Template sites, in particular, as a bolster dressing for difficult anatomical sites or wound beds, such as the axilla.

*VAC is a registered trademark of Kinetic Concepts, Inc. (KCI)

 
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