[Temporary covering in the surgery of skin tumors]

The experienced dermatologist knows how to use SYSpur derm and Epigard, respectively, according to their individual indication spectra. We are of the opinion that SYSpur derm is chiefly indicated for temporary covering after tumor excision until definite reconstruction by flaps or, occasionally, by primary surgical suture, because of its minor adhesion to the granulation tissue. Epigard, in contrast, bears essential advantages with regard to the conditioning of the wound ground. As the granulations grow rapidly into the highly permeable polyurethane foam of Epigard which has to be changed frequently, a regular lawn of granulations is induced, similar to that after superficial abrasion with the sharp spoon (dermatologic curet). In addition, this technique brings on optimum conditions for the settling of grafts without any difficulties.