Which wound membranes are used in the treatment of the burn patient?

Updated: Jan 10, 2018
  • Author: Robert L Sheridan, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Answer

See the list below:

  • Porcine xenograft - Adheres to wound coagulum and provides excellent pain control

  • Split-thickness allograft - Vascularizes and provides durable temporary closure of wounds

  • Various hydrocolloid dressings - Provide vapor and bacteria barrier while absorbing wound exudate

  • Various impregnated gauzes - Provide vapor and bacteria barrier while allowing drainage

  • Various semipermeable membranes - Provide vapor and bacteria barrier

    • Acticoat (Westhaim Biomedical, Saskatchewan, Canada) - Nonadherent wound dressing that delivers a low concentration of silver for antisepsis

    • Biobrane (Dow-Hickman, Sugarland, Tex) - Synthetic bilaminate that facilitates fibrovascular tissue growth into inner layer and provides temporary vapor and bacteria barrier

    • Transcyte (Smith and Nephew, Largo, Fla) - Synthetic bilaminate that facilitates fibrovascular tissue growth into inner layer populated with allogenic fibroblasts and overlying layer that provides temporary vapor and bacteria barrier

    • AlloDerm R - Consists of cell-free allogenic human dermis; requires an immediate thin overlying autograft

    • Integra R - Provides scaffold for neodermis; requires delayed thin autograft


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