Dr Tess Brian1, Dr Nicholas Solanki1, Dr Richard Wong She1
1The National Burns Centre, Middlemore Hospital, Otahuhu, New Zealand
Matriderm is a dermal regeneration template composed of bovine dermal collagen and nuchal ligament elastin fibres. It allows single-stage reconstruction of a wide range of full thickness skin defects providing faster healing and return to function compared to other dermal matrices which typically require two-stage procedures. The Plastic and Reconstructive Surgery Department at Middlemore Hospital, Auckland, has used Matriderm in 11 patients from June 2016 to May 2018 for a wide variety of indications including defects from acute and reconstructive burn surgery and cancer excision. Complete graft take was achieved in 70% of cases. We will report on the success rate, complications and initial outcomes achieved so far. More importantly, advice on techniques to maximise success and ease of introduction into practice will also be discussed.
Experience to date has shown that Matriderm provides a simple, reliable single-stage procedure with satisfactory aesthetic and functional outcomes and is a useful additional tool for soft tissue reconstruction.
Tess Brian is a Plastic and Reconstructive Surgery Registrar who has worked at Waikato and Middlemore Hospital.