Pina incision management system mechanism of action despite advancements in surgical procedures to address the needs of a changing population surgical incision closure techniques utilizing sutures and Staples remain conventional practice in certain high-risk patients and procedures this surger technique may lead to post-operative complications and increases in cost of care current treatment standards for incision management still rely on conventional dressings such as gauze following primary closure these traditional dressings are passive therapies that provide minimal protection from external infectious sources surgical sight infections or ssis represent up to 22% of all Healthcare Associated infections SS eyes can increase the average length of Hospital stay to an extra 9 1/2 days at an additional cost of $38,000 similarly post-operative dehance has been shown to extend the average length of Hospital stay by almost 9 and 1 half days at an increased cost of $40,000 the Perina incision management system manages and helps protect a surgical incision by helping to hold incision edges together removing fluid fluids and infectious materials acting as a barrier to external contamination and delivering continuous negative pressure attive 125 mm of mercury up to 7 Days the pravina incision management system is intended to manage surgical incisions that continue to drain following sutured or stapled closure by maintaining a closed environment and removing exate via the application of negative pressure wound therapy for surgical procedures that do not require dressing customization the 3M Pina peel and place dressing is available in a variety of sizes the adhesive film secures addressing to the site and is easily applied in the operating room the stabilization layer prevents wrinkling during application to create a robust seal around the incision the protective shell is flexible to allow addressing to conform to most surgical locations and acts as a barrier to external contamination the skin interface layer Wicks fluid away from the surface and contains 0.019% ionic silver helping control growth in the interface layer the benefits of 3M Pina therapy are not limited to barrier protection of the incision the foam bolster is engineered specifically to manifold negative 125 mm of mercury continuous negative pressure wound therapy evenly across the incision while conforming to the incision site for procedures that require customization the 3M Pina plus customizable dressing is available to provide greater flexibility for a wide variety of incision lengths and shapes including linear nonlinear and intersecting surgical incisions this flexibility is achieved through a combination of additional features the foam dressing can be cut for a wide variety of incision shapes and lengths hydrocol strips secure the dressing to the application site and create a continuous adhesive seal around the edges of the dressing to minimize the potential for leaks the 3M vac drape covers the foam dressing and adheres to the skin providing protection from external infectious materials in addition the 3M sensor track pad and tubing utilizing 3M sensor trck technology connects directly to the 3M pren plus 125 Therapy Unit via the 3M pren plus connector without the need for a 3M Pina therapy vac connector sensor trck technology provides continual monitoring and adjustment of negative pressure at the incision site the 3M Pina plus 150ml canister allows for increased capacity of exate storage finally the AC adapter will allow charging of the battery and eliminates the need to replace batter batteries to examine the biomechanical changes that occur under Pina therapy computer simulations have been conducted in the model a closed incision in the skin can have uneven distribution of lateral tension around the suture line forming subcutaneous incisional spaces that may permit fluid accumulation this may compromise the Integrity of the incision when pren therapy was applied in these computer simulations there was about 50% reduction of lateral tension in The Superficial suture line and an elimination of the incisional Gap that helped maintain apposition of the incisional forces the model also shows the stress distribution in the layers of the skin which appears similar to normal uninjured tissue the Pina incision management system is an Innovative therapy that covers and protects surgical incisions holds incision edges together and removes fluid and infectious material Pina therapy has the most published clinical evidence than any negative pressure incision management system currently on the market including 200 peer-reviewed articles and 30 randomized control trials 3M Pina therapy e