Intra-Operative guidelines
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    Product Preparation
    Meshing and Handling
    Placement, Shaping and Cutting
    Stapling and Suturing
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Dressing the INTEGRA<sup></sup> Template

Dressing the INTEGRA Template in the OR

Build dressings in layers. Each layer has an important function:

  1. Fixation Layer - Elastic net dressing for intimate contact. This will help minimize shearing of the INTEGRA Template from the bed and/or hematoma formation
  2. Antimicrobial Layer - Acticoat*, Silver Nitrate 0.5% or Sulfamylon Solution 5% soaks to prevent infection
  3. Bulky Dressing Layer - Bulky gauze for protection and antimicrobial retention
  4. Compression Layer - Compression bandage for protection and anti-shear properties
  5. Anti-Shear (Optional) - An additional anti-shear layer is sometimes used


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.

*Acticoat is a trademark of Smith & Nephew.
*VAC is a registered trademark of Kinetic Concepts, Inc. (KCI)

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