Smith & Nephew: Evidence & Expert Opinion Highlights Clinical & Aesthetic Benefits of PICO◊ Single-Use Negative Pressure W...
30 August 2016 - 6:00PM
Business Wire
Smith & Nephew (LSE:SN, NYSE:SNN), the global medical
technology business, today announces how expert opinion around the
world continues to build around the use of PICO, a novel single use
negative pressure wound therapy (NPWT) in avoiding post-operative
wound complications. At a recent meeting hosted by Smith &
Nephew in Paris, over 160 European experts in plastic and
onco-plastic surgery met to share the latest evidenced based best
practice around the use of PICO, in the prevention of incisional
complications following breast surgery.
Incisional complications and delayed healing are not uncommon
following breast surgery and can cause avoidable hospital
readmissions or increased lengths of stay, which has implications
for both the healthcare system and patient outcomes. Delayed
healing is a particular issue in post mastectomy reconstruction
where the risk of a surgical complication has been found to be four
times higher than in non-oncology breast surgery1, and where any
delay to adjunctive treatment such as radiotherapy is to be
avoided.
“Preventing a wound complication following a mastectomy or
lumpectomy is crucial. Even a minor complication can delay
radiotherapy or chemotherapy, and can potentially have devastating
consequences. Predictable wound healing is vital for this reason
but to also save the patient from experiencing psychological
distress if treatment is postponed” says Jennifer Rusby, Consultant
Oncoplastic Surgeon, Royal Marsden, London, UK.
With regards to breast reduction surgery, other issues were
raised with regards to wound care and post operative issues
including scar quality. A multicentre-study2 involving 200
bilateral breast reduction patients was presented, which showed
significantly fewer wound healing complications for PICO compared
to standard care (p=0.004), and a 38% relative reduction in
surgical dehiscence by day 21 (a surgical complication in which the
wound ruptures along the surgical suture line) from 52 patients
(26.4%) to 32 patients (16.2%) (p<0.001). The study also
evaluated the scar quality at 42 and 90 days post surgery. PICO
showed significantly better scar quality at each time point
(p<0.001).
Clinical complications including surgical site infections
following breast surgery were also identified as significantly
higher amongst patients with a high BMI3, impacting on both
clinical and aesthetic outcomes, but also on the hospital’s
resources due to re-admissions and further post-operative care.
Professor Laurent Lantieri, Chief of Department of Plastics and
Reconstruction surgery, European Hospital Georges Pompidou, Paris,
chaired the meeting, and explained further:
"It is very important to bring some of the most experienced and
innovative surgeons together at meetings such as this; to share
first-hand ideas which you cannot get from reading a journal
article or attending large scientific conferences. It is these
interactive meetings that are important for the future of
education. If I give you one idea and you give me one idea we both
have two ideas, and by exchanging these ideas we can improve our
knowledge and even inform future practice.”
The Plastic Surgery Expert Meeting hosted by Smith & Nephew
is one of a series of six meetings happening during 2016, including
the use of NPWT across specialities such as orthopaedic,
cardiothoracic and vascular surgery and obstetrics and
gynaecology.
For images and video footage from the meeting please visit:
http://www.smith-nephew.com/news-and-media/media-releases/news/expert-opinion-highlights-clinical-and-aesthetic-benefits-of-pico/
- ends -
1 Olsen, M. A., Lefta, M., Dietz, J. R., Brandt, K. E., Aft, R.,
Matthews, R., & Fraser, V. J. 2008. Risk factors for surgical
site infection after major breast operation. J Am Coll Surg
2008;207:326–335
2 Galiano R, Djohan R, Shin J, Hudson D, Van der Hulst, Beugels
J, Duteille F, Huddleston E, Cockwill J, Megginson S The effects of
a single use canister-free Negative Pressure Wound Therapy (NPWT)
System* on the prevention of postsurgical wound complications in
patients undergoing bilateral breast reduction surgery (First
presented at The British Association of Aesthetic Plastic Surgeons
(BAAP’s) 30th Annual Scientific Meeting, London, September
2014)
3 Davis, G. B., Peric, M., Chan, L. S., Wong, A. K., &
Sener, S. F. 2013. Identifying risk factors for surgical site
infections in mastectomy patients using the NSQIP database. The
American Journal of Surgery, 2013 205(2) 194–199
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For Smith & NephewRachel
Cunningham02089955832rachelg@roadcommunications.co.uk
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