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Telfa

Manufactured by Medtronic
Sourced in Ireland

Telfa™ is a sterile, non-adherent wound dressing designed to protect the wound site. It is composed of a soft, absorbent rayon and cotton facing with a sealed edge.

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3 protocols using telfa

1

Surgical Skin Graft Harvesting Protocol

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GalT-KO donor swine were anesthetized with I.M. Telazol 2 mg/kg, intubated, and had anesthesia maintained with 2% isoflurane and oxygen. Presurgery, the area of donor skin was disinfected with 2% chlorhexidine acetate (NolvasanR Surgical Scrub, Fort Dodge Animal Health, Fort Dodge, IA), 70% isopropyl rubbing alcohol (NolvasanR Surgical Scrub, Owens & Minor, Mechanicsville, VA), and 10% povidone-iodine (Betadine Solution, Purdue Products, L.P., Stamford, CT) before sterile draping. An air-driven Zimmer dermatome (Medfix Solution, Inc., Tucson, AZ) with a depth of 0.022 inches was used to harvest split-thickness skin grafts (STSGs) from the dorsum of the animal. Saline and epinephrine soaked gauze was applied to skin donor sites for hemostasis before dressing with Telfa™ (Covidien, Dublin, Ireland) and Tegaderm™ (3M, St. Paul, MN).
Baboon donors were sedated with I.M. atropine 0.1 mg/kg and I.M. ketamine 20 mg/kg, shaved, and transferred to the operating room for endotracheal intubation and general anesthesia with 2% isoflurane and oxygen similar to the above. Skin donor sites on the baboon’s back was prepped as described above for GalT-KO swine.
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2

Anesthesia and Skin Graft Harvesting in Swine and Baboons

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GalT-KO donor swine were anesthetized with I.M. Telazol 2 mg/kg, intubated, and had anesthesia maintained with 2% isoflurane and oxygen. Presurgery, the area of donor skin was disinfected with 2% chlorhexidine acetate (NolvasanR Surgical Scrub, Fort Dodge Animal Health, Fort Dodge, IA), 70% isopropyl rubbing alcohol (NolvasanR Surgical Scrub, Owens & Minor, Mechanicsville, VA), and 10% povidone-iodine (Betadine Solution, Purdue Products, L.P., Stamford, CT) before sterile draping. An air-driven Zimmer dermatome (Medfix Solution, Inc., Tucson, AZ) with a depth of 0.022 inches was used to harvest split-thickness skin grafts (STSGs) from the dorsum of the animal. Saline and epinephrine soaked gauze was applied to skin donor sites for hemostasis before dressing with Telfa™ (Covidien, Dublin, Ireland) and Tegaderm™ (3M, St. Paul, MN).
Baboon donors were sedated with I.M. atropine 0.1 mg/kg and I.M. ketamine 20 mg/kg, shaved, and transferred to the operating room for endotracheal intubation and general anesthesia with 2% isoflurane and oxygen similar to the above. Skin donor sites on the baboon’s back was prepped as described above for GalT-KO swine.
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3

Skin Graft Harvesting Technique

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We harvest the STSG by applying mineral oil over the anterior thigh, and using the Padgett dermatome (Integra, Plainsboro, NJ, USA) at 0.015-inch thickness. We may harvest from one or both thighs depending on the defect size, although 2 large grafts can be taken from a single thigh making use of both thighs uncommon in genital-only cases. If a simultaneous abdominoplasty is performed, as in cases of buried penis due to obesity, obtaining the graft from the excised abdominal skin is an option, though we still prefer to take the graft from the thigh even in those cases, based on our subjective, expert opinion. The graft donor site is covered with thrombin-soaked Telfa (Covidien, Minneapolis, MN, USA), which is removed at the end of the case and replaced with Tegaderm dressing (3M, St. Paul, MN, USA).
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