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Characteristics

Debridementent

Trauma Wounds

Dehiscense

Micro Surgery

 

 

 

  1. Potential Uses of Tissue Engineered SIS Wound Matrix (Acute Traumatic Wounds)

 

Wounds caused by acute tissue trauma are either partial thickness where a portion of dermis is lost or full thickness where all dermal elements are lost.  Acute wounds can usually be readily debrided to a viable wound bed because infection is not likely in the first few hours after injury.  Small partial or full thickness wounds, which have the ability to re-epithelialize would benefit from application of a bioactive wound matrix as a wound defect can be filled and matrix components added.  The result is an improved wound healing environment as well as a decrease in pain as application closes the wound covering the pain fibers.

Figure 6: Acute Traumatic Wound

 

Day 5 of full thickness abrasion injury to finger being treated with OASIS® wound dressing. Note that the first dressing has already been incorporated.

 

Figure 7:Treatment with OASIS® wound matrix

Day 12: wound completely healed at 2 weeks after placement of two OASIS® wound dressings 5 days apart.

 

Figure 8: Acute Traumatic Wound

Full thickness skin loss on the tip of the index finger, debrided and subsequently covered with OASIS® wound matrix. A skin graft would also close the wound but there would be diminished skin sensation on the tip of the index finger with a skin graft. Closure by contraction and re-epithelialization is preferred as long as time-to-closure is not prolonged and the tissue defect is corrected. 

 

Figure 9: Acute Wound treated with OASIS®

Traumatic wound at 14 days. OASIS® wound matrix has been applied twice, 7 days apart. Note that the initial soft tissue defect in now filled in and the wound is re-epithelialized.

 

Figure 10: Acute Traumatic Wound healed

Same wound at 3 weeks. Normal contour is present along with normal skin sensation.

 

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