A Wound Covering for Surgical Defects
When primary closure is challenging due to tissue tension or surgical reconstruction is declined, Revita, a dehydrated complete human placental membrane (dCHPM) allograft, can be applied as a wound covering to MMS defects healing by secondary intent.
The following cases demonstrate the use of Revita as a surgical wound covering.
Highly mobile areas present a disadvantage to primary closure due to the tissue tension and potential for resulting tissue ischemia, necrosis, and wound dehiscence.1
1 Application
- Patient presented with a NMSC on the left lateral hand
- Following a single Revita application, the patient's wound was resolved at 6.4 weeks
Lower extremity wounds are subject to higher rates of infection than other surgical sites.1
1 Application
- Patient underwent MMS on the left anterior lower leg
- Following a single Revita application, the patient's wound was resolved at 4 weeks
Large anterior auricular defects pose a significant challenge when healing via secondary intention due to the complex topography.2
2 Applications
- Patient declined an autologous skin graft for the wound on the right anterior ear
- After two applications of Revita, the patient's wound was resolved at 8.4 weeks
- Blattner, C. M., Perry, B., Young, J., & Lear, W. (2018). The use of a suture retention device to enhance tissue expansion and healing in the repair of scalp and lower leg wounds. JAAD
Case Reports, 4(7), 655–661. https://doi.org/10.1016/j.jdcr.2018.06.004 - Nemir, S., Hunter-Ellul, L., Codrea, V., & Wagner, R. (2015). Reconstruction of a Large Anterior Ear Defect after Mohs Micrographic Surgery with a Cartilage Graft and Postauricular Revolving Door Flap. Case Reports in Dermatological Medicine, 2015, 484819. https://doi.org/10.1155/2015/484819.
