The Abdominal Surgery Dept of the PICO Implementation Hub

Challenge to norm


The PICO Implementation Hub contains everything you need to know about PICO sNPWT.

  • Evidence that supports its use, with insights and recommendations from an international panel
  • Tools to help build a business case for wider use of PICO sNPWT in your setting
  • Instructional posters, checklists, pathways and protocols to share quickly and easily with colleagues

You can tailor your experience at every step, reading, watching and sharing content in the order and at a pace which suits you.

This is the abdominal surgery programme

Specifically - surgery via laparotomy  such as:

  • Colorectal surgery -  such as for Chrohn’s disease
  • Gastrointestinal surgery  - such as Whipple resection
  • Hernia repair
  • Stoma closure
  • General or gynaecological surgery

This module is a collection of e-learning lectures to support education around the serious surgical technique of open abdomen, focusing on the use of NPWT during the open phase.

What you will learn:

  • Understand about open abdomen + key terms/definitions
  • Explain why it is important to aim for early fascial closure
  • Describe the concept of temporary abdominal closure + why NPWT is the preferred option
  • Recall clinical evidence + guidance relating to using NPWT as temporary abdominal closure

Surgical site infections: What is the scale of the problem in colorectal surgery?

Recognition of which patients are at risk of surgical site complications, and to what extent, is essential in managing that risk and guide appropriate use of interventions.

You should be able to realistically know your own SSI or SSC rate.

Here we describe the data from the best epidemiological studies to detail the SSI prevalence in general and in this surgical indication.

Learning Objectives

  • Discover key insights into surveillance for SSI
  • Understand the scale of the problem of SSI
  • Recall the SSI prevalence in this surgical indication from epidemiological studies

This module is a collection of e-learning lectures describing important clinical studies in colorectal / abdominal patients undergoing laparotomy which were presented at the ONE NPWT Expert Meeting (2019) held in Berlin, Germany. This training relates to the PICO Single Use Negative Pressure Wound Therapy System, but alternative devices are available.

Learning Objectives

  • Review the O’Leary et al 2017 study
  • Review the Abadia et al 2020 study

Contributors

  • Dr Colin Pierce, Ireland
  • Dr Javier Die Trill, Spain

This video will help you understand fistula and how to manage these very complex patients.

What you will learn:

  • State the general concepts of fistulae (definitions and classification)
  • Understand that preventing fistulae is preferable by aiming to close the open abdomen by day Describe efficient patient management for example using the SNAP algorithm (sepsis, nutrition, anatomy, planning)
  • Be able to apply the surgical intervention strategy for fistula management and isolation with NPWT

The Abdominal Surgery Dept of the Virtual Cente of Excellence

Challenge to norm

To support the successful implementation of incisional NPWT into your surgical care pathway we have developed an online preceptorship – the Virtual Centre of Excellence.

The Virtual Centre of Excellence comprises five surgical departments, each providing dedicated insight and information intended to help support you in surgical site complication (SSC) prevention with PICO sNPWT. 

To better understand how to effectively implement PICO sNPWT as  part of SSC prevention a consensus publication was developed by an internationally recognised expert panel experienced in establishing and embedding the prophylactic use of PICO sNPWT as the standard post-operative management for the prevention of SSCs. 

This is the abdominal surgery programme

Specifically - surgery via laparotomy  

  • Colorectal surgery
  • Gastrointestinal surgery
  • Hernia repair
  • General surgery
  • Stoma closure

Learning Objectives

  • How to establish a case for changing to incisional NPWT prophylaxis using PICO sNPWT with benchmark auditing of SSC outcomes and business case development.
  • Help to optimise outcomes by accurate identification of the most appropriate patient group at risk of developing SSCs based upon pre-operative risk assessment.
  • Best practice sharing to enable successful implementation of bespoke closed surgical incision management pathways and protocols using PICO sNPWT within the surgical care pathway including practical tools, pragmatic tactics and compliance support.
  • How to help drive consistency and reduce variation in the delivery of closed surgical incision management pathways using PICO sNPWT through protocol expansion into multiple surgical specialities and care settings.