PICO Single Use Negative Pressure Wound Therapy can help reduce the risk of seroma, haematoma, dehiscence and infection after surgery1-12
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Meta-analysis
Reduction in SSIs and length of stay13
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General surgery
Significantly reduced rate of surgical site infections1
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Orthopaedic surgery
Reduced extreme lengths of stay, distribution of wound exudate and number of dressings2
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Consensus
WHO guidelines for preventing surgical site infection
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Orthopaedic surgery
Significantly reduced post-operative seroma volume3
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Meta analysis
Reduced rate of surgical site infections and occurrence
of seroma4
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Orthopaedic surgery
Significant impact on surgical site including dehiscence and surgical site infection5
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Obstetrics and gynaecology
Reduced surgical site infection rate6
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Orthopaedic surgery
Significant impact on wound healing problems7
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Cardiothoracic surgery
Reduced rate of surgical site complications and superficial surgical site infections8
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Orthopaedic surgery
Trend to a lower surgical site complication rate9
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General surgery
Reduced healing times10
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Plastic surgery
Reduction in wound breakdown11
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NPWT mechanism of action
Reduced lateral tension across a closed incision12
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| Consensus
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This information is intended for health care professionals only.
*The decision to use Smith+Nephew products should be made by a healthcare professional, in line with applicable local protocols. Smith+Nephew products should always be used for the indications set out in the applicable instructions for use.
References
1. O’Leary, D.P. et al. Prophylactic negative pressure dressing use in closed laparotomy wounds following abdominal operations. A randomized, controlled, open-label trial: The P.I.C.O. Trial. Annals of Surgery (2016) published ahead of print.
2. Karlakki, S.L. et al. Incisional negative pressure wound therapy dressings (iNPWT) in routine primary hip and knee arthoplasties: A randomised controlled trial, Bone and Joint Research (2016) Vol 5 (Issue 8): 328-337.
3. Nordmeyer, M. et al. Negative Pressure Wound Therapy for seroma prevention and surgical incision treatment in spinal fracture care. International Wound Journal (2015).
4. Hyldig, N. et al. Meta-analysis of Negative-Pressure Wound Therapy for Closed Surgical Incisions. British Journal of Surgery (2016) Vol 103 (issue 5): 477-486.
5. Adogwa, O. Negative Pressure Wound Therapy reduces incidence of post-operative wound infection and dehiscence after long-segment thoracolumbar spinal fusion: a single institutional experience. The Spine Journal (2014) Vol 14 (Issue 12): 2911-2917.
6. Bullough,L. et al. Implementation of a pathway approach to aim to reduce SSI rates after C-section including use of PICO™ in high risk patients with a BMI ≥35. The Clinical Services Journal (2015) April: 2-6.
7. Matsumoto, T. and Parekh S.G. Use of negative pressure wound therapy on closed surgical incision after total ankle arthroplasty. Foot & Ankle International (2015) Vol 36 (Issue 7): 787-794.
8. Witt-Majchzak, A. et al. Preliminary outcome of treatment of postoperative primarily closed sternotomy wounds treated using negative pressure wound therapy. Polish Journal of Surgery (2014) Vol 86(Issue 10): 456-465.
9. Hester, T. et al. Is single use portable incisional negative pressure wound therapy system suitable for revision arthroplasty. Advances in Orthopaedic Surgery (2015).|
10. Carnali, M. et al. Retrospective study on the use of NPWT in the treatment of pilonidal cysts (sinus pilonidalis) operated on using an open technique or complicated by dehiscence of the surgery site through sepsis. Acta Vulnologica (2016) Vol 14 (Issue 1): 24-39.
11. Holt, R. and Murphy. J. PICO™ incision closure in oncoplastic breast surgery: a case series. British Journal of Hospital Medicine (2015) Vol 76 (no 4) 217-223.
12. Loveluck J., et al. Biomechanical Modeling of the Forces Applied to Closed Incisions During Single-Use Negative Pressure Wound Therapy. Eplasty (2016) Vol 16: 183-195.
13. Strugala V and Martin R. Meta-analysis of comparative trials evaluating a prophylactic single-use negative pressure wound therapy system for the prevention of surgical site complications. Surgical Infections Vol 18 Number 00 (2017). DOI: 10.1089/sur.2017.156.