Stage 3: Post-operative care after takedown
Apply non-adherent dressing (e.g. Adaptic® or Cuticerin™) directly over Epicel then apply outer gauze wrap and bulky dressings.
Change dressings daily.
Continue to expose grafted areas to air at least 4 hours per day, preferably up to 12 hours, as tolerated.
Monitor grafted areas and wound bed for signs or symptoms of infection.
Monitor daily for signs of infection (drainage or odor), continue wound cultures p.r.n.
If topicals are applied, use the “wring-out” procedure, do not saturate.
Gentle PT/OT may be initiated during dressing changes. Be careful with hand placement during range of motion (ROM) exercises.
Continue to avoid shearing forces.
Do not use CHG/cytotoxic agents on or near body sites where Epicel grafts have been placed.
Do not soak or scrub Epicel grafted areas.