Skip to main content

Case studies

The case studies below are examples of how the PICO sNPWT System delivers the effectiveness of NPWT when used on various closed surgical incisions. See how the simplicity of the revolutionary PICO sNPWT System may promote positive outcomes and patient mobility.

How to apply PICO sNPWT and its unique Mode of Action



Total hip replacement

65-year-old female

with hypertension, diabetes, BMI 35kg/m2, osteoarthritis


wound 01

Operating room

wound 02

PICO sNPWT in use

wound healed

PICO sNPWT discontinued at day 9

Knee replacement

74-year-old female

Type II diabetes and arthritis, underwent her third knee replacement procedure following recurrent infections.

Patient developed a dehiscence and 14 days post-surgery the incision site failed to show signs of improvement.

When PICO sNPWT is used on infected wounds, more frequent dressing changes may be required. Regular monitoring of the wound should be maintained to check for signs of infection.


wound 01

Beginning of treatment

application of pico

Application of PICO sNPWT

wound healing

Progression after 7 days

Surgical site infection / pacemaker

66-year-old male

with history of pacemaker site infection had poor healing at surgical site post pacemaker removal


wound 01

3 weeks post-op

wound 02

2 weeks after PICO sNPWT application, 85% reduction in volume of ulcer

wound closed

Wound closure achieved 2 months later

Sternotomy on high risk patient

Obesity, ASA score of 3, undergoing a triple bypass, using 2 thoracic arteries


incision site

Day 0: initial incision line

pico applied

Day 0: PICO sNPWT in situ

day 5

Day 5: after the first dressing change

Breast surgery

41-year-old female

with breast cancer,* tissue expander inserted into breast for reconstruction, wound measured 15cm in length and 5cm in width

*Do not use on patients with malignancy in the wound bed or the margins of the wound (except for palliative care to enhance quality of life).


day of surgery

Post-surgical wound following breast reconstruction

pico in place

Patient with dressing in place on first assessment

pico removal day

Post-surgical wound after PICO sNPWT removal - day 11

Breast surgery

51-year-old female

Cardiovascular disease, Con meds: Seroxat, Ascal, Micardis, Omeprazole, ASA 2

* Case taken from RCT on breast reduction surgery.


title bar




day 7

Day 7


day 21

Day 21


day 180

Day 180

Reduction mammoplasty1

200 patient bilateral breast study in US, South Africa, and Netherlands measured PICO sNPWT vs. standard care


  • Wound related complication rates: 21 days (PICO fewer complications p=0.004)
  • Fewer incidences of dehiscence observed by day 21 following PICO sNPWT treatment
    • n = 32 (16.2%) vs. n = 52 (26.4%) (p < 0.001)
    • Aesthetic appearance (cosmetic) and scar quality: 42 and 90 days



title bar

day 7

Day 7


day 21

Day 21


day 45

Day 45


day 90

Day 90

Want to get started with PICO?

If you would like a company representative to contact you to learn how you can provide PICO sNPWT therapy for your patients please click to learn more.

Are you a patient with questions?

Do you have questions about your PICO sNPWT therapy? Find out information on what PICO sNPWT is and how you can get back to your daily life.

Billing questions?

Our reimbursement helpline provides you with information concerning questions regarding coding, payments and coverage for PICO sNPWT.

  1. Galiano, R. et al. Incisional Negative Pressure Wound Therapy for Prevention of Wound Healing Complications Following Reduction Mammoplasty. Plastic Reconstr Surg Glob Open. 2018 Jan 12;6(1):e1560.