ADVANCED WOUND MANAGEMENT

C-section surgery

As the most common surgical procedure and becoming increasingly frequent, C-section surgery has the potential to disrupt what should be a positive experience

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C-Section Surgery

Because nothing should come between them

The last thing C-section patients want is for post-operative complications to keep them from bonding with their newborn baby. Yet, the procedure carries a high risk of surgical site complications (SSCs) – surgical site infections (SSIs) being the most prevalent – and may lead to serious consequences.1-5

  • 3 in 10 women give birth by C-section in the US6
  • Up to 15% of these result in an SSI7
  • Patients face an average 10 days longer in hospital if they develop a SSI8

    • Consider: The impact of a SSI on a new mom can lead to less bonding time with her newborn at home.

    Lower the risk + reap the reward

    Prophylactic use of the PICO™ Single Use Negative Pressure Wound Therapy System (sNPWT) may help reduce the prevalence and impact of SSCs, particularly in patients with a BMI ≥30, compared to standard dressings.4

  • 50% relative risk reduction in the incidence of SSI, compared to standard care*4
  • Estimated cost saving of almost $400 per SSI patient with a pre-pregnancy BMI ≥35, compared to standard care5

    • Consider: Could a change of standard post-op care help protect moms' time to bond with their newborns?

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    Reference Materials

    Disclaimers

    *BMI ≥30 (p=0.007).

    Citations

    1. Wloch C, Wilson J, Lamagni T, Harrington P, Charlett A, Sheridan E. Risk factors for surgical site infection following caesarean section in England: results from a multicentre cohort study. BJOG: An International Journal of Obstetrics & Gynaecology. 2012 Oct;119(11):1324-33.

    2. Leth RA, Uldbjerg N, Norgaard M, Moller JK, Thomsen RW. Obesity, diabetes, and the risk of infections diagnosed in hospital and post-discharge infections after cesarean section: a prospective cohort study. Acta obstetricia et gynecologica Scandinavica. 2011 May;90(5):501-9.

    3. Schneid-Kofman N, Sheiner E, Levy A, Holcberg G. Risk factors for wound infection following cesarean deliveries. International Journal of Gynecology & Obstetrics. 2005 Jul;90(1):10-5.6

    4. Hyldig N, Vinter CA, Kruse M, Mogensen O, Bille C, Sorensen JA, Lamont RF, Wu C, Heidemann LN, Ibsen MH, Laursen JB. Prophylactic incisional negative pressure wound therapy reduces the risk of surgical site infection after caesarean section in obese women: a pragmatic randomised clinical trial. BJOG: An International Journal of Obstetrics & Gynaecology. 2019 Apr;126(5):628-35.

    5. Hyldig N, Joergensen JS, Wu C, Bille C, Vinter CA, Sorensen JA, Mogensen O, Lamont RF, Moller S, Kruse M. Cost-effectiveness of incisional negative pressure wound therapy compared with standard care after caesarean section in obese women: a trial-based economic evaluation. BJOG: An International Journal of Obstetrics & Gynaecology. 2019 Apr;126(5):619-27.

    6. Content source: CDC/National Center for Health Statistics. Page last reviewed: April 20, 2020.

    7. Zuarez-Easton S, Zafran N, Garmi G, Salim R. Postcesarean wound infection: prevalence, impact, prevention, and management challenges. Int J Womens Health. 2017;9:81-88.

    8. Jenks PJ, Laurent M, McQuarry S, Watkins R. Clinical and economic burden of surgical site infection (SSI) and predicted financial consequences of elimination of SSI from an English hospital. Journal of Hospital Infection. 2014 Jan 1;86(1):24-33.

    9. Hurd, T., Trueman, P., & Rossington, A. Use of portable, single use negative pressure wound therapy device in home care patients with low to moderately exuding wounds: a case series. Ostomy Wound Management. Volume 60. Issue 3. March 2014.

    10. Data on File DS/18/015/R. Summary Wound Model Report for Opal PICO 7. January 2018.

    11. Sharp, E; Single use NPWT for the treatment of complex orthopaedic surgical and trauma wounds; Journal of Woundcare Cases supplement 2013, Vol 22, No 10, S5-9.

    12. Hudson, D; Adams, K; Van Huyssteen, A; Martin, R; Huddleston, E; Simplified negative pressure wound therapy: clinical evaluation of an ultraportable, no canister system; International Wound Journal 2015, 12: 195-201.

    13. Payne C, Edwards D: Application of the single-use negative pressure wound therapy device (PICO) on a heterogeneous group of surgical and traumatic wounds: Eplasty Apr 2014, 14: e20.

    14. Rossington, A; A prospective, open, non-comparative, multicentre study to evaluate the functionality and dressing performance of a new negative pressure enhanced dressing (NPED) in acute wounds, CT09/02, May 2015.

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