Surgeons share how they evaluate whether a wound bed is ready for either an acellular dermal matrix or a skin graft
- 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
- Always use aseptic technique when handling device.