Name of the Procedure:

• Common Name: Integra Matrix Application
• Technical/Medical Term: Integra™ Bilayer Matrix Wound Dressing Application, Per Square Centimeter (HCPCS Code: Q4108)

Summary

Integra Matrix is a type of wound dressing designed to aid in the healing of acute and chronic wounds. It consists of a bilayer matrix that serves as a scaffold for cellular regrowth, providing an optimal environment for healthy tissue regeneration.

Purpose

• Medical Conditions Addressed: Severe burns, chronic skin ulcers, traumatic wounds, and surgical wounds.
• Goals/Expected Outcomes: Promote faster and more effective wound healing, reduce the risk of infection, and improve the overall quality of newly formed tissue.

Indications

• Symptoms/Conditions Warranting the Procedure: Non-healing chronic wounds, extensive burns, complex surgical wounds.
• Patient Criteria: Patients with extensive or non-healing wounds who have not responded well to conventional treatments.

Preparation

• Pre-procedure Instructions:
  • Keep the wound clean and free of debris.
  • Follow specific instructions from the healthcare provider regarding cleansing and maintenance.
• Diagnostic Tests/Assessments Required:
  • Wound assessment and possibly imaging studies to determine the extent and depth of the affected area.
  • Blood tests to evaluate overall health and infection markers.

Procedure Description

1. Anesthesia: Local anesthesia may be administered if the area is sensitive.
2. Cleaning: The wound area is thoroughly cleaned and prepared.
3. Application: The Integra Matrix is carefully measured and cut to fit the wound dimensions. It is then placed directly onto the wound.
4. Securing: The matrix is secured in place with appropriate dressings and bandages.
5. Inspection: The healthcare professional will inspect the wound and ensure the matrix is properly adhered and covered.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the size and complexity of the wound.

Setting

This procedure is usually performed in an outpatient clinic, hospital, or surgical center.

Personnel

• Healthcare Professionals Involved:
  • Wound care specialists or surgeons, nurses, sometimes an anesthesiologist (if anesthesia is required).

Risks and Complications

• Common Risks: Localized pain, minor bleeding, or discomfort at the application site.
• Rare Risks: Infection, allergic reaction to materials, failure of the matrix to adhere properly, chronic inflammation.
• Management: Regular monitoring and follow-up care to address any complications promptly.

Benefits

• Expected Benefits: Enhanced wound healing, reduced healing time, improved tissue quality, decreased risk of infection.
• Realization: Benefits may start appearing within a few weeks, with complete healing potentially taking several months.

Recovery

• Post-procedure Care:
  • Keep the wound clean and dry.
  • Follow all instructions for dressing changes and wound inspections.
• Expected Recovery Time: Varies based on the severity of the wound, ranging from weeks to months.
• Restrictions: Limited mobility or activity might be recommended, along with scheduled follow-up appointments for wound assessment.

Alternatives

• Other Treatment Options:
  • Traditional wound dressings, skin grafts, hyperbaric oxygen therapy.
• Pros and Cons:
  • Traditional dressings may be less expensive but might not be as effective for severe wounds.
  • Skin grafts can be effective but involve more invasive surgery and longer recovery.
  • Hyperbaric oxygen therapy can enhance healing but requires specialized equipment and multiple sessions.

Patient Experience

• During the Procedure: Mild discomfort or pain during preparation and application, usually managed with local anesthesia.
• After the Procedure: Possible mild pain or itching at the site, with pain management options including over-the-counter pain relievers or prescribed medications.
• Comfort Measures: Detailed care instructions to ensure comfort and promote healing, including support from healthcare providers during follow-up visits.