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  Excision
  Application
 
    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
    Large Hematoma
    Small, late forming Hematoma
    Fluid accumulation
    Infection
    Infection at staple
 
    Summary
  Summary
   


Complications - Areas of Non-Take
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Areas of Non-Take

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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