Improving outcomes with incisional NPWT
Negative Pressure Wound Therapy (NPWT) has a mechanism of action that improves the speed, strength and quality of incisional wound healing, thus minimising the failures of healing that lead to infection and/or dehiscence.
Considerable evidence shows NPWT delivers clinical benefits as part of effective incision management.1
PICO is a novel, canister- free, single-use system offering the ultimate in portable, accessible and affordable NPWT.
A recent paper published in Bone & Joint Research has reviewed the literature surrounding a more recent and emerging indication with the use of NPWT on closed incisions:1
- From a "counterintuitive indication" position at the beginning of the paper, Karlakki et al. came to the conclusion that "there are now reasonable grounds for confidence that this approach is widely applicable in a range of indications" for the use of NPWT on closed incision
- From the studies and case series reviewed:
- 26 of the 33 papers were from the last 3 years
- A very high proportion presented positive review
- RCT evidence was presented for Ortho Trauma and Sternal Incisions
- Although a gap in understanding MOA was identified, it was identified that oedema, haematoma and seroma formation may be reduced through the therapy itself as well as improved lymphatic drainage.2
- Karlakki S et al, Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery, Bone Joint Res 2013; 2:276-84.
- Kilpadi DY, Cunningham MR, Evaluation of closed incision management with negative pressure wound therapy (CIM): hematoma/seroma and involvement of the lymphatic system. Wound Repair Regen 2011; 19:588-596.