Sacral Wound Management with MicroMatrix® UBM Particulate and Cytal® Wound Matrix

When it comes to complex sacral wounds, each patient has their own goals and tolerance for wound management and healing.
“My main goal is that if I can get a wound to heal—to close—fantastic,” says Dr. Harrison Cotler, General Surgeon at Jersey Shore University Medical Center. “But what I tell everyone is that I want them to get their wound to a spot where they have their lifestyle back.”
That’s what he was able to achieve for one 88-year-old bedbound patient with dementia. She came to him with a sacral wound with exposed bone and was septic. After five weeks of treatment, the wound was significantly smaller, and the patient was able to return home.
“Her family’s only desire was that they wanted to get her home for the remaining stages of her life,” Dr. Cotler says. “They didn’t want her to be stuck in a rehab center with wound care that they weren’t able to do at home. And that’s what we accomplished.”
In the above 7-minute video, Dr. Cotler presents five cases of complex sacral wounds that he successfully managed with MicroMatrix® UBM Particulate and Cytal® Wound Matrix.
Cytal and MicroMatrix are manufactured using a proprietary MatriStem UBM™ (Urinary Bladder Matrix) technology, which has been shown to support the body’s ability to remodel site-appropriate tissue.^1,2
Using the powder (MicroMatrix) and sheet (Cytal) forms of UBM, Dr. Cotler was able to provide an alternative option for a patient who wanted to avoid the surgery necessary for a flap. He was also able to avoid giving a sacral wound patient a diverting colostomy, which he says are very often irreversible in patients who cannot tolerate more surgery.
Learn how Cytal and MicroMatrix can similarly complement your surgical practice in managing high-risk soft tissue injuries.
References:1. Valerio, Ian L et al. “The use of urinary bladder matrix in the treatment of trauma and combat casualty wound care.” Regenerative medicine vol. 10,5 (2015): 611-22. Doi:10.2217/rme.15.34.
2. Paige, John T et al. “Modulation of inflammation in wounds of diabetic patients treated with porcine urinary bladder matrix.” Regenerative medicine vol. 14,4 (2019): 269-277. doi:10.2217/rme-2019-0009.
MicroMatrix UBM Particulate
INDICATIONSMicroMatrix UBM Particulate is intended for the management of wounds including: partial and full-thickness wounds, pressure ulcers, venous ulcers, diabetic ulcers, chronic vascular ulcers, tunneled/undermined wounds, surgical wounds (donor sites/grafts, post-Mohs surgery, post-laser surgery, podiatric, wound dehiscence), trauma wounds (abrasions, lacerations, second-degree burns, skin tears), and draining wounds. The device is intended for one-time use.CONTRAINDICATIONS
Patients with known sensitivity or allergy to porcine materials.
Third-degree burns.

WARNINGS

If active infection is present, treat patient to resolve infection prior to device application.
Do not use glass vial if cracked, broken, or otherwise damaged.
MicroMatrix UBM Particulate is not indicated for treatment of alopecia.

PRECAUTIONS

Do not tap glass vial with metal objects or handle in a way that may cause glass to break and contaminate wound.

Cytal Wound Matrix

INDICATIONS

Cytal Wound Matrix is intended for the management of wounds including: partial and full-thickness wounds, pressure ulcers, venous ulcers, diabetic ulcers, chronic vascular ulcers, tunneled/undermined wounds, surgical wounds (donor sites/grafts, post-Mohs surgery, post-laser surgery, podiatric, wound dehiscence), trauma wounds (abrasions, lacerations, second-degree burns, skin tears), and draining wounds. The device is intended for one time use.

CONTRAINDICATIONS

Patients with known sensitivity or allergy to porcine materials.
Third-degree burns.

WARNINGS

Exposure to contaminated or infected field can lead to rapid breakdown of device.
If active infection is present, treat patient to resolve infection prior to device application.
Do not use if cracked, broken, or otherwise damaged.

PRECAUTIONS