The use of IntegraTM as a novel technique in deep burn foot management

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Presentation transcript:

The use of IntegraTM as a novel technique in deep burn foot management Mohammed Asif, Saarah Ebrahim, Melanie Major, Julie Caffrey JPRAS Open Volume 17, Pages 15-20 (September 2018) DOI: 10.1016/j.jpra.2018.04.003 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Diagram illustrating the application of IntegraTM to a full thickness skin defect. The collagen layer acts as a dermal regeneration template, promoting the formation of the new dermis. (Image taken from http://www.burnresearchcenter.org) JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 Initial burn evaluation demonstrating burns of full- thickness to the plantar aspect of the feet bilaterally. JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 Excision of plantar aspect of feet bilaterally. Skin was excised to bleeding subcutaneous tissue. JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure.4 Intraoperative photograph depicting application of IntegraTM to plantar aspect of feet bilaterally. JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 5 Intraoperative photograph depicting wound bed after removal of IntegraTM. JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 6 Intraoperative photograph depicting plantar aspect of both foot after application of split thickness skin graft. JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 7 Photographs to the left demonstrate appearance of feet at 1 month, and photographs to the right demonstrate appearance of feet at 6 months post-operatively. JPRAS Open 2018 17, 15-20DOI: (10.1016/j.jpra.2018.04.003) Copyright © 2018 The Author(s) Terms and Conditions