Breast reconstruction

Use of the PICO System in a post-surgical wound following breast reconstruction

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

 Use of the PICO System on a post-surgical wound following breast reconstruction

A 27-year old woman had a surgical wound measuring 14.1cm x 0.1cm following a skin sparing mastectomy and immediate prosthetic breast reconstruction. The PICO System was applied.

On the first day after application, the pump and dressing were changed. The wound was already progressing to closure. The patient was discharged from hospital on day 5.

A third PICO System was applied on day six, and treatment continued until day eleven when the wound was seen to be closed and treatment with the PICO System was ended.

Overall the surgeon was very satisfied with the performance of the dressing.

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Fig 1. Wound immediately following breast reconstruction surgery

Fig 1. Wound immediately following breast reconstruction surgery

Fig 1. Wound immediately following breast reconstruction surgery

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Fig 2. The PICO dressing in place on day 7

Fig 2. The PICO Dressing in place on day 7

Fig 2. The PICO Dressing in place on day 7

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Fig 3. Wound on day 14, wound closure noted on day 11

Fig 3. Wound on day 14, wound closure noted on day 11

Fig 3. Wound on day 14, wound closure noted on day 11

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