• Giuseppe Giudice, Rosario Ranno, Giuseppe Lombardo, Antonio Di Lonardo, Giuseppe Perniciaro, Maria Alma Posadinu, Davide Melandri, Roberto D'Alessio, Franz Baruffaldi Preis, Marcello Zamparelli, Daniela Risso, Giuseppe Minunni, Enrico Pinzauti, Stefano Merelli, Maurizio Governa, Giulio Maggio, and Pasquale Tedeschi.
• Division of Plastic and Reconstructive Surgery and Burn Unit, University of Bari, Bari, Italy.
• Burns. 2024 Aug 8; 50 (9): 107236107236.

IntroductionBurn injuries pose significant challenges in healthcare, with Integra dermal regeneration template (DRT) emerging as a prominent solution to enhance wound healing and recovery. Although there is no clear consensus on its technical use and application. We convened a panel of 14 burn specialists aiming to provide consensus regarding the application and usage of Integra in managing burn wounds.MethodsPanelists employed a modified Delphi technique to assess agreement and provide feedback on 81 initial statements covering various aspects of Integra DRT application in burn wound care over three subsequent rounds. This study was endorsed by the Italian Society of Burn Surgery (SIUST).ResultsFourteen heads of burn unit departments participated in the Delphi process. At the end of the third round and subsequent discussion on the final statement list, the panel achieved consensus on 24 statements shaping recommendations for Integra application across various aspects, including wound bed preparation, acellular dermal matrix application, definitive coverage, and complication management.ConclusionThe resultant 24 finalized statements from this Italian consensus offer a comprehensive and practical framework for employing Integra DRT in burn patient care. Reflective of specific Italian expertise and practice, these recommendations supplement and refine existing literature, serving as a dynamic guide subject to periodic updates aligned with evolving evidence and experience in the field of burn surgery.Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.

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