index  
coursenewsroomcompanycontactlogin
 
 
Wound Bed Preparation
 
    Application Guidelines
    Estimating the Number and Size of Sheets
    Product Preparation
    Meshing and Handling
    Placement, Shaping and Cutting
    Stapling and Suturing
 
    Summary
  Post-Op Care
  Summary
   

Dressings
Previous Previous | Next Next
Dressings   Kerlix fluffs are being
used to ensure INTEGRA™ Bilayer Matrix Wound Dressing is in complete contact with the wound bed

  • Fixation and compression are of significant importance. Elastic bandages, padded "tie-over" dressings, vacuum devices, splints and other methods, depending on the circumstances, should be used. This ensures that the Integra matrix adheres to and is in complete contact with the wound bed and prevents shearing and hematoma or seroma formation.
  • Inspect for hematoma and seroma formation upon dressing changes
  • Dressings can be attached by staples or other suitable methods. They will be left in place until the silicone is removed and offer the following advantages:

        - Helps prevent dislodgement

        - Keeps INTEGRA™ Bilayer Matrix Wound Dressing in intimate contact with the wound bed

  • 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™ Bilayer Matrix Wound Dressing


Outer Dressings
In this case, cotton cast padding followed by a bias stockinet and total contact cast was used to
ensure INTEGRA™ Bilayer Matrix Wound Dressing remained in contact with the wound bed

Outer Dressings

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

       - Keeps INTEGRA™ Bilayer Matrix Wound Dressing in intimate contact with the wound bed

       - Protects INTEGRA™ Bilayer Matrix Wound Dressing from shearing and detachment

  • Use bandages to apply slight pressure over outer dressings
  • Immobilize joints and limbs (e.g., by splints and casts) 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™ Bilayer Matrix Wound Dressing application sites.

Use splints or bolsters, per unit protocols, during first 5-7 days. Splints should be applied 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™ Bilayer Matrix Wound Dressing 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)

 
Previous Previous | Next Next

© Copyright 2010 Integra LifeSciences Corporation. All Rights Reserved.
Terms of Use • Privacy Policy