Name of the Procedure:

Common Name: Surgimend Collagen Matrix Application
Technical/Medical Term: Dermal Substitute, Native, Non-denatured Collagen, Neonatal Bovine Origin

Summary

Surgimend Collagen Matrix is a medical procedure where a dermal substitute made from non-denatured collagen of neonatal bovine origin is applied to assist in wound healing and tissue regeneration. This bio-engineered matrix is used to treat difficult wounds by promoting cellular infiltration and tissue growth.

Purpose

This procedure is used to treat chronic wounds, significant tissue loss from trauma or surgery, and to assist in the healing of complex surgical sites. By providing a scaffold for new tissue growth, it aims to accelerate wound healing and improve overall tissue regeneration.

Indications

• Chronic non-healing wounds (e.g., diabetic ulcers)
• Areas of significant tissue loss from surgery or trauma
• Burns and other severe skin injuries
• Reconstruction post-tumor removal

Preparation

• Patients may need to fast for a certain period before the procedure, depending on anesthesia requirements.
• Medication regimens might need adjustment (especially anticoagulants).
• Diagnostic tests like blood work or imaging might be required to assess the wound and surrounding tissue.

Procedure Description

1. The area around the wound is cleaned and disinfected.
2. Any dead or infected tissue is removed (debridement).
3. The Surgimend Collagen Matrix is cut to the appropriate size.
4. The matrix is applied directly onto the wound.
5. The area is then covered with a sterile dressing or other protective layers.
6. Depending on the wound, this might be done under local anesthesia, while larger or more complex cases might require general anesthesia.

Duration

The procedure typically takes 1 to 2 hours but varies based on the wound’s size and complexity.

Setting

Surgimend Collagen Matrix application is performed in various settings, such as:

• Outpatient clinics
• Hospitals
• Surgical centers

Personnel

• Surgeon or specialized wound care practitioner
• Nursing staff for assistance and post-procedure care
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Infection at the application site
• Allergic reaction to the collagen matrix
• Rejection of the matrix
• Delayed healing or failure to improve the wound
• Scarring or fibrosis

Benefits

• Accelerated wound healing
• Improved cosmetic and functional outcomes
• Reduced pain and discomfort associated with chronic wounds
• Lower risk of infection and other complications from open wounds

Recovery

• Regular follow-up appointments to assess healing.
• Continued wound dressing changes and hygiene.
• Potential use of adjunctive therapies like antibiotics or additional debridements.
• Most patients notice significant improvement within a few weeks to months, depending on the severity.

Alternatives

• Traditional wound care and dressings
• Skin grafts from the patient’s own skin (autografts)
• Synthetic grafts or other biological dressings
• Hyperbaric oxygen therapy
• Each alternative comes with its own set of risks, benefits, and suitability considerations.

Patient Experience

During the procedure, if local anesthesia is used, patients might feel some discomfort but should not feel pain. Post-procedure, they might experience mild pain or itching at the site, which can be managed with over-the-counter pain medications. Regular dressing changes and follow-ups will be necessary to monitor healing progress.