Coverage of Exposed Lower Extremity Bypass Vascular Graft with Integra and NPWT for Limb Salvage

Integra was first used to replace the dermis in third-degree burns to minimize contraction and scarring, its usage had led to better functional and aesthetic results. It acts as a network for dermal reconstruction. Its usage had expanded in trauma and soft tissue defects resulting after cancer excision and other defects with tendons and bone exposure. Integra has unlimited supply compared with skin grafts and flaps and it avoids donor site morbidity. This case study shows the promising use of Integra when applied over an exposed vascular graft in the lower extremity for limb salvage.