Vascular | Possible with PICO

Vascular surgery incisions with complications can impact patient lives and burden hospital outcomes

Evidence

Open vascular surgery incisions in the inguinal region can disrupt lymphatic structures, which can continue to leak after surgery, increasing lateral tension stress on sutures.¹ The risk of colonization stemming from skin flora can be associated with an elevated risk of surgical site infection (SSI).^1,2

The inguinal region

In a randomized controlled trial (RCT) of 178 patients, the prophylactic use of PICO sNPWT significantly reduced the incidence of SSIs by 64% following vascular surgery in the inguinal region.^*3

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Seroma reduction

PICO sNPWT helped to significantly reduce the incidence of SSCs, including an 82% relative reduction in the incidence of seroma,* in patients undergoing vascular surgery in the inguinal region.⁴

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General, colorectal, vascular surgery

Application tips

The PICO 7 or PICO 14 System may be appropriate for these procedures
The PICO System may be used in conjunction with surgical drains provided the dressing is not placed over tubing where it exits the skin
Exudation: low/moderate
Remove excess hair and use NO STING SKIN-PREP^◊ Skin Protectant if needed
For wounds 0.5cm–4.5cm deep, a filler may be required

Fillers: ACTICOAT^◊ FLEX Dressing, foam, gauze
Do not place gauze into blind or unexplored tunnels
Do not use over exposed arteries, veins, nerves or organs
Port position: uppermost from incision
In areas of complexity, fixation strips or gel strips* (*not included in kit) may be used to maintain a seal
Dressing may be left in place for up to 7 days. The PICO 14 Pump will continue therapy for 14 days.

Application tips

The PICO 7 or PICO 14 System may be appropriate for these procedures
The PICO System may be used in conjunction with surgical drains provided the dressing is not placed over tubing where it exits the skin
Exudation: low/moderate
Remove excess hair and use NO STING SKIN-PREP^◊ Skin Protectant if needed
For wounds 0.5cm–4.5cm deep, a filler may be required
Fillers: ACTICOAT^◊ FLEX Dressing, foam, gauze
Do not place gauze into blind or unexplored tunnels
Do not use over exposed arteries, veins, nerves or organs
Port position: uppermost from incision
In areas of complexity, fixation strips or gel strips* (*not included in kit) may be used to maintain a seal
Dressing may be left in place for up to 7 days. The PICO 14 Pump will continue therapy for 14 days.

References >

Aicher B, Curry P, Croal-Abrahams L, Hao S, Kalsi R, Menon N, Drucker C, Harris D, Toursavadkohi S, Crawford R, Rosenberger S. Infrainguinal wound infections in vascular surgery: an antiquated challenge without a modern solution. Journal of Vascular Nursing. 2017 Sep 1;35(3):146–56.
Gwilym BL, Dovell G, Dattani N, Ambler GK, Shalhoub J, Forsythe RO, Benson RA, Nandhra S, Preece R, Onida S, Hitchman L. Systematic review and meta-analysis of wound adjuncts for the prevention of groin wound surgical site infection in arterial surgery. European Journal of Vascular and Endovascular Surgery. 2021 Jan 7.
Hasselmann J, Björk J, Svensson-Björk R, Acosta S. Inguinal Vascular Surgical Wound Protection by Incisional Negative Pressure Wound Therapy–A Randomized Controlled Trial–INVIPS Trial. European Journal of Vascular and Endovascular Surgery. 2019 Dec 1;58(6):e726–7.
Fleming CA, Kuteva M, O’Hanlon K, O’Brien G, McGreal G. Routine use of PICO dressings may reduce overall groin wound complication rates following peripheral vascular surgery. J Hosp Infect. 2018;99:75–80.

* Compared to care with standard dressings

Vascular surgery incisions with complications can impact patient lives and burden hospital outcomes

Evidence

The inguinal region

Seroma reduction

General, colorectal, vascular surgery

Application tips

Application tips

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