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 are using 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 the evaluation. * 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 be excluded 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 * Patients who have participated in this trial previously and who were withdrawn.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 and polyurethane films (direct contact with incision), acrylic adhesives (direct contact with skin), polyethylene fabrics and super-absorbent powders (polyacrylates) (within the dressing). * Incisions where daily inspection is required underneath the dressing. * Incisions which have an infection which is not being treated with systemic antibiotics. * Incisions whi…