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    Complete Excision of Non-Viable Tissue
    Uniform and Flat Wound Bed
    Adequate Vascular Supply
    Meticulous Hemostasis
    Infection Free Wound Bed
    Summary
  Application
  Post-Op Care
  Summary
   


Pre-Operative Guidelines
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  • Pre-Operative routines should follow normal burn center protocols. This may include the use of systematic broad spectrum targeted antibiotics.
  • Pre-Operative control of contamination may include the use of topical agents such as silver impregnated dressings
  • Preparation of the site to be excised should follow normal burn center protocols. This may include the use of povidone iodine or chlorhexidine gluconate.
  • Early and complete excision (typically within 24 to 72 hours) of injury should be performed
  • If complete excision is not possible, a bacterial barrier must be created to separate the unexcised, contaminated area from INTEGRA Template


Operating Room Supplies

In addition to standard OR supplies, the following supplies should be available in the OR:

  • Extra back table to hold 3 rinse basins, and at least 6 liters of sterile saline solution for rinsing alcohol from the INTEGRA Template (an additional 4 liters will be needed for each additional 1-2 sheets)
  • Extra electrocautery instrumentation (e.g., bovie, double plug, bipolar) for pinpoint coagulation, sterile elastic net dressings (i.e., Stretchnet)
  • Antimicrobial agents/dressings (e.g., Acticoat* silver impregnated dressing, Sulfamylon Solution 5%, silver nitrate solution 0.5%)
  • Compression dressings/wraps
  • "Non-crushing" Mesher (if planning to mesh INTEGRA Template 1:1)
  • Splints and braces
*Acticoat is a trademark of Smith & Nephew.
 
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