John Murphy (UK)

9 June 2015

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Video Information

Presentation recorded at the 6th International NPWT Expert Meeting, Berlin 20-21 March 2015.
Plastic Surgery workstream


Clinical experience of PICO in complex breast reconstructions was presented by John Murphy. He postulated that ‘simple’ wounds (T-junction, Wise pattern wounds) in high risk patients, and linear wounds in patients undergoing breast reconstruction where cost of failure is high (e.g. implant + Acellular Dermal Matrix or ADM), are actually complex wounds. Results from his study1 showed no wound breakdown nor adverse skin reactions, and high patient satisfaction with PICO, mainly driven by a scarring which seems subjectively better that the standard of care. PICO appears to be cost-effective, with an average cost in UK of £144 per dressing vs. the cost of a wound breakdown which ranges £840 - £1260, if the implant is not affected, while in case of loss of the implant, the price of a new reconstruction is over £10000 (over £13000, when ADM is used). 

References

Holt R, Murphy JA. PICO incision closure in oncoplastic breastsurgery: a case series. Jour Hosp Med. 2015. 76; (4):217-23.