Hip

Use of the PICO system post hip implant surgical wound:

A 53-year old man suffering from osteoarthritis had surgery for a hip implant. His wound, closed by suture and Steri-Strips™, measured 17.5cm x 0.5cm.

He was given a PICO System with the dressing measuring 10cm x 30cm.

A routine dressing change was performed on day three. At this point, his wound was progressing to closure with no infection and light exudate.

The patient remained comfortable, although on day five, some bruising was noted around the lower aspect of the dressing, which remained for a few days.

At the routine dressing change on day ten, the wound was found to be closed.

Overall the clinician was very satisfied with the treatment.

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Fig 1. Hip wound of 53 year old man immediately after surgery

Fig 1. Hip wound of 53-year old man immediately after surgery

Fig 1. Hip wound of 53-year old man immediately after surgery

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Fig 2a. Wound on day 3, before new dressing

Fig 2a. Wound on day 3, before new dressing

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Fig 2b. Wound on day 3, after new dressing

Fig 2b. Wound on day 3, after new dressing

Fig 2a and 2b. Wound on day 3, before and after new dressing

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Fig 3. Post -surgical hip wound closed on day 10

Fig 3. Post -surgical hip wound closed on day 10

Fig 3. Post -surgical hip wound closed on day 10

Use of the PICO System following hip implant:

This 52-year old woman with osteoarthritis had surgery for a hip implant. Her wound measured 15.5cm x 0.2cm and was closed with a suture and Steri-Strips.

A surgeon and assistant took just three minutes to apply the PICO System, using the 10cm x 25cm dressing in the operating room.

Treatment continued uneventfully for six days, throughout which the patient was comfortable.

At the routine dressing change on day seven, the wound was seen to be progressing to closure with healthy surrounding tissue and no infection. A new PICO Dressing was applied by the nurse in just two minutes.

At the next routine dressing change on day ten, the wound was found to be closed.

The clinician estimated that the wound had closed three days earlier than might have been expected with an advanced wound care dressing.

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Fig 1. Wound immediately following hip implant

Fig 1. Wound immediately following hip implant

Fig 1. Wound immediately following hip implant

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Fig 2. The PICO dressing in position on day 2

Fig 2. The PICO Dressing in position on day 2

Fig 2. The PICO Dressing in position on day 2

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Fig 3. Wound closed after dressing removal on day 10

Fig 3. Wound closed after dressing removal on day 10

Fig 3. Wound closed after dressing removal on day 10

Use of the PICO system following hip implant:

A 65-year old woman with osteoarthritis, hypertension, and Type II diabetes had surgery for a hip implant.

After surgery, her wound was closed with a suture and Steri-Strips. She had a PICO System applied and remained in hospital for five days before she was discharged.

The PICO System was changed on day seven. The wound was progressing well, with no exudate or infection, and a new dressing was placed over the wound in just three minutes.

At the next routine dressing change on day nine, the wound was seen to be closed and treatment with the PICO System was discontinued.

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Fig 1. Hip implant wound on 65-year-old woman immediately after surgery

Fig 1. Hip implant wound on 65-year old woman immediately after surgery

Fig 1. Hip implant wound on 65-year old woman immediately after surgery

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Fig 2. the PICO system in place over hip on day 4

Fig 2. The PICO System in place over hip on day 4

Fig 2. The PICO system in place over hip on day 4

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Fig 3. Wound progressing to closure on day 7

Fig 3. Wound progressing to closure on day 7

Fig 3. Wound progressing to closure on day 7

Use of the PICO System following hip implant:

Following a hip implant for this 66-year old man, a PICO System with the 10cm x 30cm dressing was easily applied in the operating room.

The dressing was changed on day two due to high levels of exudate. Upon removal the wound was seen to be progressing and a new dressing was applied.

The patient was walking comfortably by day three, and was able to go home on day seven. His routine dressing change that day showed further wound progression. However, the patient requested his treatment with the PICO system to be discontinued as he was leaving the country. As his wound was at this point almost healed, the clinician agreed that no further treatment with negative pressure was required and he was moved to OPSITE Post-Op.

Overall, the clinician was very satisfied with the treatment, considering it to be superior to what might have been anticipated with advanced wound dressings.

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Fig 1. Hip wound of 66-year-old man immediately after surgery

Fig 1. Hip wound of 66-year old man immediately after surgery

Fig 1. Hip wound of 66-year old man immediately after surgery

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Fig 2. Wound progressing on day 2

Fig 2. Wound progressing on day 2

Fig 2. Wound progressing on day 2

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Fig 3. Wound appearance, still progressing to closure, at end of treatment with the PICO system on day 7

Fig 3. Wound appearance, still progressing to closure, at end of treatment with the PICO system on day 7

Fig 3. Wound appearance, still progressing to closure, at end of treatment with the PICO System on day 7

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