Post-surgical wounds

Case 1: Use of the PICO* system in a post-surgical wound following breast reconstruction: 1

A 41-year-old woman S/P mastectomy had been receiving treatment for breast cancer. Following radiotherapy, she underwent surgery for breast reconstruction and a tissue expander was inserted.

Smith & Nephew's PICO* system with the 30cm x 10cm dressing was applied to deliver NPWT to the incision and manage wound drainage.

Following application of the PICO* system, the patient was allowed to go home with the PICO* system in place and was seen daily as an outpatient from day two as a participant in the study. The pump was changed on day six and the dressing was changed on day eleven.

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Fig 1. Post surgical wound following breast reconstruction.

Fig 1. Post surgical wound following breast reconstruction. The wound measured 15cm in length and 0.5cm in width. Note the closed incision is raised above the level of surrounding skin

Fig 1. Post surgical wound following breast reconstruction. The wound measured 15cm in length and 0.5cm in width. Note the closed incision is raised above the level of surrounding skin

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Fig 2. Patient with dressing in place on first assessment (day 1)

Fig 2. Patient with dressing in place on first assessment (day 1)

Fig 2. Patient with dressing in place on first assessment (day 1)

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Fig 3. Post surgical wound after the PICO* system removal, day 11.

Fig 3. Post surgical wound after PICO* removal day 11. Note some indentation from the PICO* dressing, but otherwise healthy surrounding skin. The surgical incision is closed, there is no exudate and the incision is flat. Compare with the tunnelled IV site wound of same age which remains raised

Fig 3. Post surgical wound after the PICO* system removal, day 11. Note some indentation from the PICO* dressing, but otherwise healthy surrounding skin. The surgical incision is closed, there is no exudate and the incision is flat. Compare with the tunnelled IV site wound of same age which remains raised

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