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AUTHORS:
Robert
H. Demling, M.D. Leslie
DeSanti R.N.,
Dennis P. Orgill, M.D. Ph.D.
MANAGEMENT
OF SKIN SLOUGH DISORDERS
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Properties
- adherence
- decrease
inflammation
- control
fluid loss
- pain
relief
- impermeable
to bacteria
- durability
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Excellent
adhesive and pain relief
Back
of patient, closed with Biobrane. No Exudate. NOTE: patchy appearance of TENS
MANAGEMENT OF
EXCISED WOUND AND MESHED GRAFTS
(Biobrane
to close an excised wound)
The
same adherence and barrier properties which protect a superficial burn are
applicable to an excised burn wound awaiting donor skin or grafting with a wide
mesh.
Biobrane
covering an excised leg with a wide mesh graft. Note adherence, lack of exudate
and transparency allowing for wound assessment (Day 3)
Coverage
of an excised but not yet grafted back (Day 12). Excellent adherence and healthy
tissue below
| Since
adherence continues to increase with time due first to fibrin
entrapment, then tissue growth into the inner layer, it is preferable
to remove the Biobrane, on an excised not grafted wound within 2-3
weeks. |
DONOR
SITE COVERAGE
Maintain
homeostasis, Apply Biobrane and compression, NOTE: compression dressing being
removed on day one and good adherence is evident.
DONOR
SITE AFTER 2 DAYS
(Hansbrough
J. Use of Biobrane for extensive posterior donor site wounds.
J Burn Care Rehab 1995: 16; 335)
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