Neodermis formation
    Signs of mature Neodermis
    Dressing regimen
    Bolstering and splinting
    Frequency of dressing changes
    Positioning the patient
    Moving and turning the patient
    Anti-shear techniques
    Physical Therapy
    Small, late forming Hematoma
    Fluid accumulation
    Infection at staple
    Areas of non-take

Complications - Large Hematoma
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Large Hematoma

Hematoma is defined as a localized mass of accumulated blood under the silicone that may lead to non-take and/or infection. The formation of small hematomas is one of the more common complications encountered.

If the hematoma is small (less than the size of a dime), visually inspect for signs of growth. If the hematoma is large, growing in size, or draining, intervention is required.


  • If hematoma is still in fluid state: evacuate hematoma by inserting an 18-20 gauge hollow point needle with syringe under surface of INTEGRA Template and aspirate fluid
  • If hematoma is no longer in fluid state: incise INTEGRA Template with a #15 blade, then evacuate clot using a gentle rolling motion with a sponge or tongue blade
  • For a large, persistent hematoma: control drainage/bleeding and achieve hemostasis by irrigating with epinepherine, electrocautery or suturing and reattaching INTEGRA Template




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