Closed Incision Negative Pressure Wound Therapy vs. Foam as Post Operative Dressing

Inclusion Criteria:

• The patient must be at least 18 years of age.
• Males and females - provided they are not pregnant and if of reproductive age areusing contraception.
• Have a closed surgical incision post-surgery/closure (<24 hours after).
• The patient is able to understand the evaluation and is willing to consent to theevaluation.
• Undergoing appropriate: wound "high risk" surgery.
• Foot and ankle surgery.
• Vascular groin incision.
• Long leg vein harvest incision.
• Closed forefoot and major amputation surgery.
• Possibly: breast augmentation and reduction surgery.
• HIV and hepatitis positive patients will not be excluded from this study.
• Renal failure patients will not be excluded.
• Patient on metabolic agent, immunosuppressants, or steroid therapy will not beexcluded from this study.

Exclusion Criteria:

• Incisions in excess of effective dressing pad size provided.
• Patients with a known history of poor compliance with medical treatment.
• Patients who have participated in this trial previously and who were withdrawn.
• Patients with known allergies to product components (silicone adhesives andpolyurethane films (direct contact with incision), acrylic adhesives (direct contactwith skin), polyethylene fabrics and super-absorbent powders (polyacrylates) (withinthe dressing).
• Incisions where daily inspection is required underneath the dressing.
• Incisions which have an infection which is not being treated with systemicantibiotics.
• Incisions which are actively bleeding.
• Exposure of blood vessels, organs, bone or tendon at the base of the referenceincision.