Complications - Areas of Non-Take

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Areas of incomplete INTEGRA Template take can result from mechanical dislodgement (due to shear, improper splinting, PT), infection, hematoma, granulation tissue formation, premature silicone separation or damaged matrix. Identification of poor INTEGRA Template take is characterized by poor color and
lack of adherence. The matrix will move laterally under finger pressure.

Intervention:

• Small areas (under 2 sq cm) should be monitored for infection but not removed until time of epidermal grafting
  
• Large areas (over 2 sq cm) should be removed and treated by either:

  1. Re-application of new INTEGRA Template, or

  2. Application of a split-thickness skin graft

 

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