This video demonstrates the process of the excision of affected tissue.

Adequate vascular supply

• Adequate vascular supply is required prior to INTEGRA^® Template application
  
• Punctate, uniform capillary bleeding indicates adequate excision of non-viable tissue
  
• In certain situations, (e.g., obese patients), excising to viable fat may not provide an adequate
  blood supply

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Maintaining Meticulous Hemostasis

Dry with no signs of bleeding

• Meticulous hemostasis needs to be achieved to prevent hematomas or excessive fluid accumulation
  
• Epinephrine, pinpoint electrocautery, thrombin spray, thrombin-soaked gauze or other topical hemostats can be used. Avoid broad area cauterization which can lead to affected tissue.

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Uniform and Flat Bed

The wound bed must be uniform and flat to ensure intimate contact with INTEGRA^® Template

• Achieve level tissue planes
  
• When necessary, marsupialize edges to avoid large step-offs between the wound bed and
  normal skin
  

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