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User manual in English - Humeca

User manual in English - Humeca

User manual in English - Humeca

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8. Extend<strong>in</strong>g the gauze12Hold the gauze at the two notched sides and pull until the gauzeis completely unfolded <strong>in</strong> this direction (fig. 35). Now hold thegauze at the other sides and pull until the gauze is unfolded <strong>in</strong>that direction too (fig. 36). Peel off the alum<strong>in</strong>ium back<strong>in</strong>g. Trimthe marg<strong>in</strong>s or fold them double down. Then apply the fabric,graft side down, to the wound bed and secure it with surgicalstaples (fig. 37). In this way all the gauzes with graft islands areplaced on the wound adjacent to each other (fig. 38). If desiredthe gauze can be cut to graft smaller areas (fig. 39).Apply vasel<strong>in</strong>e gauzes with antibacterial cream to cover thegrafts and wrap with bandages. Keep undisturbed for the firsttwo days and then refresh every day until day 6.Alternatively the grafts can be covered with some wounddress<strong>in</strong>g that slowly releases an antibacterial agent, like silverions. In that case refresh<strong>in</strong>g the dress<strong>in</strong>gs might not benecessary.9. Remov<strong>in</strong>g the fabric from the woundSix days post-graft<strong>in</strong>g the grafts have grown sufficiently <strong>in</strong>to thewound bed to allow removal of the fabric (fig. 40). The staplesare removed and, us<strong>in</strong>g blunt forceps, the fabric is gentlydetached, leav<strong>in</strong>g the graft islands <strong>in</strong> situ on the wound bed.Sometimes antibacterial cream is put on the fabric on day 5, asit facilitates removal of the fabric on day 6. Don’t tear off thefabric at right angles to the wound; <strong>in</strong>stead peel it off, as shown<strong>in</strong> the picture below.not like this.....but like this

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