ADVANCED WOUND MANAGEMENT

Abdominal surgery

Abdominal surgery requiring a laparotomy, stoma closure and incisional hernia repair carries a high rate of surgical site complications (SSCs), most notably surgical site infections (SSIs).* Unfortunately, with many SSIs not identified until after patient discharge, the problem may be far more extensive than preliminary analysis may suggest1-3

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Unmasking a bigger problem

Pressure to balance care and budgets may drive prompt patient discharge, but the incidence of SSIs post-operatively represents a significant impact on patients, with potential reputational damage and shifting burdens to community healthcare.2-4

  • Hospital stay accounts for up to 85% of the cost of care following open laparotomy2
  • SSIs can be detected 9-13 days after surgery, according to data2,4
  • £10,523 cost per patient, with additional treatment, readmissions and community visits2

Consider: With many SSIs identified after patient discharge, is the real scale of the problem being obscured?2,3

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Surgical Techniques

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Step 2

Using the TRIGEN INTERTAN System, your surgeon will insert a specially shaped metal rod down the central canal of your thigh bone. This rod is called an intramedullary (Intra-med-u-larry) nail.

Step 3

Once the rod is in place, your surgeon puts the compression screws through the nail and your femoral neck and then into your hip head. As these two screws are turned, they pull your femoral head and neck back into place and hold the bones in position as they heal.

Step 4

After your surgeon is satisfied that the bones are in the right position and tightly compressed together, he or she will close the incision.

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Reference Materials

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Diclaimers

*Compared to general incisions.

**n=50; p=0.043.

***n=74; p<0.002.

Citations

1. Ng SK, et al. Annals of plastic surgery. 2016 Jun 1;76(6):640-4.

2. The Aesthetic Society (2020) Aesthetic Plastic Surgery National Databank 2020 Statistics.

3. Olsen MA, et al. J Am Coll Surg. 2008 Sep;207(3):326-35.

4. Olsen MA, et al. Archives of Surgery. 2008 Jan 1;143(1):53-60.

5. Tanner J, et al. Journal of Infection Prevention. 2011 Sep;12(5):204-9.

6. McIntosh J, et al. European Journal of Surgical Oncology (EJSO). 2012 Mar 1;38(3):196-202.

7. Vincent SM, et al. Advances in Breast Cancer Research. 2019 Jun 27;8(3):87-111.

8 Galiano R et al. Poster presentation CSAWC 2014

9. Irwin GW, et al. Plast Reconstr Surg Glob Open. 2020;8(e2667).

10. Nelson JA, et al. Journal of plastic surgery and hand surgery. 2014 Oct 1;48(5):334-9.

11. Holt R, et al. British Journal of Hospital Medicine. 2015;76(4).

12. Galiano RD, et al. Plastic and Reconstructive Surgery Global Open. 2018 Jan;6(1).

13. Nherera LM, et al. Journal of Wound Care. 2021 May 1;30(Sup5):S23-31.

14. Ryu JY, et al. Aesthetic Plastic Surgery. 2021 Jan 20:1-9.

15. Galiano R, et al. Paper presented at: The British Association of Aesthetic Plastic Surgeons (BAAP's) 30th Annual Scientific Meeting; 2014; London.

16. Tanaydin V, et al. Aesthetic Plast Surg. 2018;42(4):927-935.

17. Hudson DA, et al. Int Wound J. 2015;12(2):195-201.

18. Smith+Nephew 2019. Internal report. RD/18/134 V2.

19. Smith+Nephew 2017. Internal report. DS/17/253/R.

20. Smith+Nephew 2018. Internal Report. RD/18/133.

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