| Premature Silicone
Separation POD 1-21 |
|
The silicone layer can be left in place
for extended periods without detrimental affects to the
underlying Neodermis. Premature separation of the silicone
is not a problem if it stays in contact with the Neodermis.
Early Silicone Separation POD 1-9
- Inspect wound for signs of shearing,
fluid collection, hematoma, or infection. Detect loose
areas
of INTEGRA Template by using your finger to slide
loose silicone.
- Remove the source of the separation
and re-attach
- If the INTEGRA® is engrafted
with evidence of Neodermis, then cover exposed Neodermis
with allograft, xenograft, or epidermal autograft to
prevent desiccation
Late Silicone Separation POD 10 or higher
- Remove source of non-adherence. Remove
silicone if unable to re-secure.
- If INTEGRA Template is not engrafted
and there is no evidence of Neodermis, remove and replace
with new INTEGRA Template and/or other graft material
- If INTEGRA Template is engrafted,
then cover with allograft, xenograft or epidermal autograft
to preserve the Neodermis
