Michael N. Desvigne, MD, FACS, CWS, FACCWS:
Hi there. My name is Michael Desvigne. I'm a plastic and reconstructive surgeon. I come from Phoenix, Arizona. I work at the Arrowhead Abrazo Wound Clinic and Hospital. As Jody holds up the dressing that you can see, there is already a cut hole for what we call the track pad. This is a big benefit as it allows for one less step. Additionally, you can see that the drape itself is very similar to the drape that we just used. The holes are slightly larger, which allows for an even better seal, but you still get that periwound protection.
But as you can see with the one-step dressing, it's applied as one unit. There is no cut and paste necessary, and the tabs are easily removed, just as was seen in the previous dressing. Because the hole is precut, it is the perfect size for the track pad, and once again, Jody is considering direction of the tubing so that it makes it easier for the patient to ambulate. Once again, because of this hybrid dressing or hybrid drape, you also can reposition it if needed in about a 20-minute timeframe. So because this dressing does not allow for installation and dwell, this is going to place at a different setting just to allow for negative pressure therapy.
Again, you can see that Jody has obtained an adequate seal. The patient appears to be comfortable, and again, the ease of the dressing is very important because it appears to be much faster in comparison to the more traditional negative pressure therapy dressing. The other benefit of this dressing is that it does allow for a longer wear time, up to 7 days. The traditional negative pressure wound therapy dressings typically are changed every 2 to 3 days, and this allows for a more extended period of time of use. So less dressing changes, and if a patient needs to come to clinic each time, it's only once a week.
So now that we have a seal, we'll move on to our last dressing, which is called the Prevena™, which is an incisional management negative pressure dressing, again, as Jodi removes the drape. Again, no periwound irritation and the patient appears quite comfortable. Incisional management with negative pressure therapy is particularly valuable for surgeons because it allows for reduction of postoperative complications such as infection or dehiscence. The difference, however, in this dressing is that the negative pressure is delivered, but it's being delivered over a closed incision, not to a wound bed. There is a nonadherent layer that is incorporated into this particular dressing, as Jodi will show, and this nonadherent layer also has silver, which has that antimicrobial protection.
This particular version of this dressing is able to be placed as one unit. The drape is applied, and again, with care to get a seal. The similarity of this drape is more similar to a Tegaderm™, if you're used to that in terms of use on an IV site or for skin tears, as Jody smooths the drape and gets ready to connect. Once again, the setting for this particular dressing is typically at 125, and this can be utilized as a disposable unit, but it also can be utilized in the acute care setting unit, which was the pump that we showed earlier.
The advantage of the disposable pump is that this dressing will stay in place. The patient will go home with a disposable pump, and then the disposable pump will then be discarded at seven days. There is a pump with a slightly larger timeframe that can be a 14-day pump, and that is the added advantage. And if in fact it is needed or felt necessary to have additional negative pressure, that can be utilized as well.
So again, Jody has had an excellent seal. The patient appears comfortable, this disposable unit the patient will be discharged on, and then a different dressing can be applied in clinic. So what we have showcased today are 3 dressings for negative pressure therapy. Negative pressure can be utilized for wound therapy, but as we have shown, it can also be used for incisional management. The negative pressure wound therapy dressings are available in different sizes, and depending on the goal of therapy, they can be utilized for wound bed preparation as well as utilized to help for wound bed progression towards healing. The benefit of negative pressure wound therapy is to allow for both use in the acute care setting as well as the post-acute care setting, which can then allow transitioning to care.
So on behalf of my assistants, both Jody and Jaclyn, I want to thank you and I appreciate your time today.
