Surgery doesn’t end in the theatre
Evidence shows that PICO Single Use Negative Pressure Wound Therapy (sNPWT) is clinically effective in reducing the incidence of surgical site infections (SSI) and complications (SSC) across a broad range of surgical specialities1-17
Understanding the challenges you face.
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250 million major surgical procedures are carried out each year18 so we understand your need to minimise the cost and time burden of complications.
According the WUWHS, up to 60% of SSIs are preventable18
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Proactive prevention of surgical wound complications.
PICO, used prophylactically, is successful in significantly reducing post-operative SSIs and SSCs across a number of specialties and patient profiles1-3, 6,12,14-17
- Surgically closed incision sites- A meta-analysis demonstrated a 58% reduction in SSIs (i)1. View our study summary.
- Abdominal surgery for Crohn’s disease - Seroma reduced by 82%, compared with gauze dressings(ii)8
- Mammoplasty - Improved scar quality(iii)19 and significantly improved surgical dehisence(iv)2. View our study summary
- Obstetrics (C-section) - PICO offers potential for PICO sNPWT to reduce SSCs(v)13
- Orthopaedic - In patients undergoing primary hip and knee arthroplasties, superficial SSCs reduced by 76%(vi)5
- Cardiothoracic - In high-risk CABG surgery, SSCs reduced 70% compared to standard dressings(vii)3
- Colorectal (Closed laparotomy) - SSI incidence reduced by 74%(viii)6
How much time and money could you save with PICO? Helping you get CLOSER TO ZERO◊ human and economic cost of wounds.
View our guide to identifying patients with a high risk of wound complication.
Download the PICO 7 size chart and ordering information.
For any specific patient requirements, or for help identifying the right dressing choice, please contact us.
For other patient requirements:
(i) Versus care with standard dressings (Meta-analysis included 10 RCT & 6 observational studies. Reduction in SSI (16 studies included): 1863 patients (2202 incisions); PICO 5.2%; control group 12.5%; p<0.00001. Mean reduction in hospital length of stay (8 studies included): 0.47 days; p<0.0001.)
(ii) Study relates to Crohn’s disease patients. Compared to care with standard dressings (Reduction in seroma; 50 patient study. PICO 2 patients (8%); standard care 11 patients (44%); p=0.008)
(iii) Scar appearance: Significantly better scar quality at 42 days and 90 days assessment; p<0.001.
(iv) Reduction in dehiscence: 200 patients; PICO 32 patients (16%); standard care 52 patients (26%); p<0.001
(v) Analysis of 239 patients, all patients had BMI >35 (1644 patients in total of all BMIs) and were treated with PICO. SSI rate reduced to 3.6% for patients with BMI <35 and 0.4% for patients >35 during study period.
(vi) Reduction in surgical site complications: 200 patient study, PICO 2.0%; control group 8.4%.
(vii) Reduction in wound complications: 80 patient study, PICO 3 patients (7.5%); standard care 10 (25%) p<0.034.
(viii) Reduced SSIs: 50 patient study; PICO 2 patients (8.3%); control group 8 patients (32.0%); p=0.043.
References
1) 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 2018; 18 (7):810-819. DOI: 10.1089/sur.2017.156.
2) Galiano R.D., Hudson D, Shin J, et al. Incisional negative pressure wound therapy for prevention of wound healing complications following reduction mammoplasty. Plast Reconstr Surg Glob Open 2018;6:e1560; doi: 10.1097/GOX.0000000000001560; Published online 12 January 2018.
3) Witt-Majchrzak et al, Preliminary outcome of treatment of post-operative primarily closed sternotomy wounds treated using negative pressure wound therapy. Polish Journal of Surgery (2014) Vol 86(Issue 10): 456-465.
4) Rodden D. et al. NPWT: Incision management in high risk cardiothoracic patients reducing surgical site infection and length of stay, Poster presented at STSC Conference 2015.
5) Karlakki SL et al. Incisional negative pressure wound therapy dressings (iNPWTd) in routine primary hip and knee arthroplasties: A randomised controlled trial. Bone & Joint Research (2016) Vol 5 (Issue 8): pp 328-337 doi:10.1302/2046-3758.58.BJR-2016-0022.R1.
6) O’Leary D.P. et al, Prophylactic negative pressure dressing use in closed laparotomy wounds following abdominal operations. A randomised, controlled, open-label trial: The P.I.C.O. trial. Ann Surg. 2017; Jun 265(6):1082-1086.
7) Holt R and Murphy J. PICO incision closure in oncoplastic breast surgery: a case series. Br J Hosp Med 2015; 76(4):217-223.
8) Selvaggi F et al., New Advances in Negative Pressure Wound Therapy (NPWT) for Surgical Wounds of Patients Affected with Crohn’s Disease. Surgical Technology International XXIV; 83- 89.
9) Pellino G et al. Prophylactic Negative Pressure Wound Therapy in colorectal surgery. Effects on surgical site events: current status and call to action, Updates Surg 2015; DOI 10.10007/s 13304-015-0298-z.
10) Canonico S et al. Therapeutic possibilities of portable NPWT. Initial multidisciplinary observation with the negative pressure therapy device. Acta Vulnol Issue 2, 2012; 10: 57-66.
11) Nordmeyer M et al. Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care. Int Wound Journal 2015; DOI: 10.111/iwj.12436.
12) 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.
13) Bullough,L. et al. Reducing C-section wound complications. The Clinical Services Journal (2015) April: 2-6.
14) Pellino G. et al, Effects of a new pocket device for negative pressure wound therapy on surgical wounds of patients affected with Crohn’s disease: A pilot trial; Surgical Innovation, Jul 2014;21 (2):204-212
15) Schwartz J.A., et al, 2015: Single-Use Negative Pressure Wound Therapy for the treatment of chronic lower leg wounds. Journal of Wound Care Issue S2, 24: S4-9.
16) Bullough et al; Changing wound care protocols to reduce post-operative C-section infection and readmission. Wounds UK 2014, Vol 10, No.1, 72-76
17) Adogwa, O. et al. 2014: 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 14(12):2911-17
18) World Union of Wound Healing Societies (WUWHS). Consensus document. Closed surgical incision management: understanding the role of NPWT. Wounds Int, 2016.
19) Tanaydin V, et al. Randomized controlled study comparing disposable negative-pressure wound therapy with standard care in bilateral breast reduction mammoplasty evaluating surgical site complications and scar quality. Aesthetic Plast Surg. 2018. doi. 10.1007/s00266-018-1095-0.