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Hyalomatrix, per square centimeter
HCPCS code
#### Name of the Procedure:
- Common Name: Hyalomatrix Application
- Technical/Medical Term: Hyalomatrix, per square centimeter (HCPCS Code Q4117)
#### Summary
The Hyalomatrix procedure involves applying a bio-engineered skin substitute that aids in wound healing and skin regeneration. It is primarily used for patients with severe burns, ulcers, or other significant skin injuries.
#### Purpose
- **Medical Conditions Addressed:** Severe burns, diabetic ulcers, vascular ulcers, and other significant skin injuries.
- **Goals:** Promote effective wound healing, reduce the risk of infection, and facilitate skin regeneration.
#### Indications
- **Symptoms/Conditions:** Non-healing wounds, large area skin loss, chronic ulcers.
- **Patient Criteria:** Patients with wounds that have not responded to conventional treatments or those requiring extensive skin grafting.
#### Preparation
- **Pre-Procedure Instructions:** May include fasting, stopping certain medications, and ensuring the wound area is clean.
- **Diagnostic Tests:** Blood tests to check for infections, imaging to assess the wound, and preoperative physical examinations.
#### Procedure Description
1. **Wound Assessment:** The healthcare provider examines and cleans the wound area.
2. **Debridement:** Removal of non-viable tissue to prepare the wound bed.
3. **Application:** The Hyalomatrix scaffold is carefully placed over the wound.
4. **Fixation:** Using sutures, staples, or adhesive strips, the scaffold is secured in place.
5. **Dressing:** A secondary dressing is applied to protect the Hyalomatrix and maintain a proper healing environment.
- **Tools/Equipment:** Wound cleaning tools, debridement instruments, Hyalomatrix scaffold, fixation devices.
- **Anesthesia/Sedation:** Local or general anesthesia, depending on the wound's size and patient's condition.
#### Duration
- The procedure typically takes about 30-60 minutes, though duration can vary based on wound size and complexity.
#### Setting
- The procedure is normally performed in a hospital, outpatient clinic, or a specialized burn/wound center.
#### Personnel
- The procedure involves a multidisciplinary team including surgeons, wound care nurses, and possibly an anesthesiologist.
#### Risks and Complications
- **Common Risks:** Infection, scaffold dislodgement, delayed wound healing.
- **Rare Complications:** Allergic reaction to scaffold materials, excessive scarring.
- **Management:** Close monitoring, administration of antibiotics, and follow-up visits for wound assessment.
#### Benefits
- **Expected Benefits:** Enhanced wound healing, reduced healing time, minimized risk of infection.
- **Timeline:** Initial benefits can often be seen within a few days; full healing may take several weeks to months.
#### Recovery
- **Post-Procedure Care:** Regular wound cleaning, dressing changes, and adherence to prescribed medications.
- **Recovery Time:** Varies based on wound size and patient's overall health, usually ranging from several weeks to a few months.
- **Follow-Up:** Scheduled visits for wound monitoring and additional treatments if necessary.
#### Alternatives
- **Treatment Options:** Conventional wound care, other bio-engineered skin substitutes, skin grafting.
- **Pros and Cons:** Conventional care may be less costly but slower; skin grafting can be more invasive with longer recovery.
#### Patient Experience
- **During Procedure:** Minimal discomfort if local anesthesia is used; sedation provides pain relief and relaxation.
- **After Procedure:** Possible mild pain or discomfort at the wound site, manageable with prescribed pain relievers. Patients should follow care instructions closely to facilitate healing and minimize complications.