Name of the Procedure:

Puraply, per square centimeter (HCPCS Code: Q4195)

Summary

Puraply is a procedure that involves applying an antimicrobial wound matrix to chronic and acute wounds to promote healing. This matrix is placed over the wound and provides a protective barrier that supports tissue growth and reduces the risk of infection.

Purpose

Puraply is used to treat various types of wounds, including chronic ulcers, surgical wounds, and traumatic injuries. The main goals of this procedure are to speed up the healing process, prevent infection, and reduce wound-related pain.

Indications

• Non-healing diabetic ulcers
• Venous stasis ulcers
• Pressure ulcers (bedsores)
• Surgical wounds that have opened or are at risk of infection
• Traumatic wounds

Patients who have chronic wounds that are not responding to conventional treatments may be good candidates for Puraply.

Preparation

• Patients may need to adjust medications, especially if they are on blood thinners.
• Instructions may include proper hygiene measures for the wound area.
• Diagnostic tests, such as blood work or wound cultures, may be required to assess the condition of the wound.

Procedure Description

1. The wound is first cleaned and debrided (removal of dead tissue) to create a suitable environment for healing.
2. Puraply antimicrobial wound matrix is then cut to the size of the wound.
3. The matrix is placed directly onto the wound bed.
4. The wound is then covered with a secondary dressing to hold the matrix in place.
5. Instructions are given on how to care for the wound and when to return for follow-up.

The tools used include wound cleaning supplies, sterile scissors, and various dressings.

Duration

The application of Puraply typically takes about 30 to 60 minutes, depending on the size and condition of the wound.

Setting

This procedure is usually performed in an outpatient clinic or a specialized wound care center.

Personnel

• Wound care specialists or doctors
• Nurses trained in wound management

Risks and Complications

• Infection, although the procedure is designed to reduce this risk
• Allergic reaction to the materials used in Puraply
• Potential for wound irritation or delayed healing

Benefits

• Accelerated wound healing
• Reduced risk of infection
• Enhanced tissue regeneration

Patients may start to notice improvements within a few weeks of the procedure, depending on individual healing rates and wound conditions.

Recovery

• Follow-up appointments are necessary to monitor healing.
• Patients are advised on how to change dressings and keep the wound clean.
• Activity restrictions may apply to prevent strain or contamination of the wound.
• Complete healing times vary but generally range from a few weeks to several months.

Alternatives

• Standard wound care with regular dressings
• Synthetic skin substitutes
• Hyperbaric oxygen therapy

Each alternative has its own set of pros and cons, such as cost, effectiveness, and availability.

Patient Experience

Patients might experience mild discomfort during the application process, which can be managed with local anesthetics or pain relief medications. After the procedure, some irritation might occur but is generally manageable with proper wound care and pain management strategies provided by healthcare professionals.