- Fixation and compression are of significant
importance. Elastic bandages, padded "tie-over"
dressings, vacuum devices, splints and other methods,
depending on circumstances, should be used to ensure
the material adheres to the wound without shear, and
that hematomas and seromas do not accumulate.
- Inspect for hematoma and seroma formation
upon dressing changes
- Elastic net dressing can be
attached by staples or other suitable methods. It will
be left in
place until the silicone is removed and offers the following
- Helps prevent dislodgement
- Keep INTEGRA
Bilayer Matrix Wound Dressing in intimate contact
with the wound bed
- Easy to see
through for observing Neodermis
- When applied correctly, the expanded
interstices will be open about 1-2 cm and the silicone
will have slight indentations from the elastic net dressing
- Apply non-adherent absorbent dressings
as the inner dressing layer
- Use topical antimicrobials
such as silver impregnated dressings to help maintain
barrier over INTEGRA Bilayer Matrix Wound Dressing
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.