Surgical incision management (SIM; Prevena™ Incision Management System, KCI, San Antonio, TX, USA) is an NPWT system designed specifically for use over surgical incisions. Both SIM and incisional NPWT have been evaluated experimentally as well as tested successfully after orthopaedic surgery [6-8]. Furthermore, we have evaluated SIM in a high-risk group of obese patients undergoing cardiac surgery via median sternotomy [9]. The SIM dressing conforms to body contours, helping to hold incision edges together at least to a certain degree (Figure 2), and provides a clean, protected wound environment until dressing removal. Furthermore, there is experimental evidence that SIM and NPWT support wound healing by improving wound secretion drainage [6, 8].