PROCEDURES, INDICATIONS AND THERAPIES

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Accelerating change in the standard of care toward meniscal repair1

Procedure Overview

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
Burden Description

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Challenging the norm

Implementing a formal protocol for prophylactic use of the PICO◊ Single Use Negative Pressure Wound Therapy System (sNPWT) has been shown to significantly reduce the incidence of SSCs, length of stay and readmissions, compared to standard care.3,5-12

Step1: Tissue excision or debridement

  • An excisional debridement of the skin or subcutaneous tissue is the surgical removal or cutting away of such tissue, necrosis, or slough and is classified to the root operation Excision.
  • Excisional debridement involves the use of a scalpel to remove devitalized tissue.
  • When a doctor removes dead tissue from a wound, it's called debridement. 
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What is Tissue excision or debridement

  • Doctors do this to help a wound heal. 
  • It's a good idea to remove dead tissue for a few reasons. First, dead tissue gives bacteria a place to grow.
  • This can cause infection.
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Surgical Techniques

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Step 1

Your surgeon will get to your joint through an incision in the front of your ankle near the top of your foot.

Step 2

Next, your surgeon will cut away the parts of your bone and cartilage that have been damaged by arthritis. This will make room for the implant.

Step 3

Once the bone surfaces are prepared, your surgeon will place your new implants in position and make sure that your ankle moves correctly through its range of motion.

Additional procedures may be performed at the same time as necessary.

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Reference Materials

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Disclaimer

*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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