Company Website:
http://www.smith-nephew.com
LONODN -- (Business Wire)
Smith & Nephew (LSE:SN, NYSE:SNN), the global medical technology
business, today announces how expert opinion around the world continues
to build around the use of PICO, a novel single use negative pressure
wound therapy (NPWT) in avoiding post-operative wound complications. At
a recent meeting hosted by Smith & Nephew in Paris, over 160 European
experts in plastic and onco-plastic surgery met to share the latest
evidenced based best practice around the use of PICO, in the prevention
of incisional complications following breast surgery.
Incisional complications and delayed healing are not uncommon following
breast surgery and can cause avoidable hospital readmissions or
increased lengths of stay, which has implications for both the
healthcare system and patient outcomes. Delayed healing is a particular
issue in post mastectomy reconstruction where the risk of a surgical
complication has been found to be four times higher than in non-oncology
breast surgery1, and where any delay to adjunctive treatment
such as radiotherapy is to be avoided.
“Preventing a wound complication following a mastectomy or lumpectomy
is crucial. Even a minor complication can delay radiotherapy or
chemotherapy, and can potentially have devastating consequences.
Predictable wound healing is vital for this reason but to also save the
patient from experiencing psychological distress if treatment is
postponed” says Jennifer Rusby, Consultant Oncoplastic Surgeon,
Royal Marsden, London, UK.
With regards to breast reduction surgery, other issues were raised with
regards to wound care and post operative issues including scar quality.
A multicentre-study2 involving 200 bilateral breast
reduction patients was presented, which showed significantly fewer wound
healing complications for PICO compared to standard care (p=0.004), and
a 38% relative reduction in surgical dehiscence by day 21 (a surgical
complication in which the wound ruptures along the surgical suture line)
from 52 patients (26.4%) to 32 patients (16.2%) (p<0.001). The study
also evaluated the scar quality at 42 and 90 days post surgery. PICO
showed significantly better scar quality at each time point (p<0.001).
Clinical complications including surgical site infections following
breast surgery were also identified as significantly higher amongst
patients with a high BMI3, impacting on both clinical and
aesthetic outcomes, but also on the hospital’s resources due to
re-admissions and further post-operative care.
Professor Laurent Lantieri, Chief of Department of Plastics and
Reconstruction surgery, European Hospital Georges Pompidou, Paris,
chaired the meeting, and explained further:
"It is very important to bring some of the most experienced and
innovative surgeons together at meetings such as this; to share
first-hand ideas which you cannot get from reading a journal article or
attending large scientific conferences. It is these interactive meetings
that are important for the future of education. If I give you one idea
and you give me one idea we both have two ideas, and by exchanging these
ideas we can improve our knowledge and even inform future practice.”
The Plastic Surgery Expert Meeting hosted by Smith & Nephew is one of a
series of six meetings happening during 2016, including the use of NPWT
across specialities such as orthopaedic, cardiothoracic and vascular
surgery and obstetrics and gynaecology.
For images and video footage from the meeting please visit:
http://www.smith-nephew.com/news-and-media/media-releases/news/expert-opinion-highlights-clinical-and-aesthetic-benefits-of-pico/
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1Olsen, M. A., Lefta, M., Dietz, J. R., Brandt, K. E.,
Aft, R., Matthews, R., & Fraser, V. J. 2008. Risk factors for surgical
site infection after major breast operation. J Am Coll Surg
2008;207:326–335
2Galiano R, Djohan R, Shin J, Hudson D, Van der Hulst,
Beugels J, Duteille F, Huddleston E, Cockwill J, Megginson S The effects
of a single use canister-free Negative Pressure Wound Therapy (NPWT)
System* on the prevention of postsurgical wound complications in
patients undergoing bilateral breast reduction surgery (First presented
at The British Association of Aesthetic Plastic Surgeons (BAAP’s) 30th
Annual Scientific Meeting, London, September 2014)
3Davis, G. B., Peric, M., Chan, L. S., Wong, A. K., &
Sener, S. F. 2013. Identifying risk factors for surgical site infections
in mastectomy patients using the NSQIP database. The American Journal of
Surgery, 2013 205(2) 194–199
View source version on businesswire.com: http://www.businesswire.com/news/home/20160830005015/en/
Contacts:
For Smith & Nephew
Rachel Cunningham
02089955832
rachelg@roadcommunications.co.uk
Source: Smith & Nephew
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