Incisional Negative Pressure Dressing on Clean Closed Groin Incisions

Inclusion Criteria: * Male or female 18 years of age or greater * Scheduled elective vascular surgery which requires groin incision. Elective surgery is defined as planned surgery a minimum of 24 hours before the procedure. * Meets high risk criteria according to the following rating system * Scores at least 8 points for the following risk factors: • MAJOR 4 points: * BMI of \<18 kg/m2 or ≥BMI 40 kg/m2 \*\*\* * Insulin dependent Diabetes Mellitus\* * Dialysis (hemodialysis or peritoneal dialysis)\*\* • INTERMEDIATE 2 points: * Previous groin surgery * Diabetes Mellitus not requiring insulin\* * Chronic lung disease GOLD \>2 * On long-term immunosuppressive medication (\>3 months at time of enrollment) * Chronic kidney disease (defined as a GFR \<30ml/min/1.73m2 for 3 months)\*\* * Previous lower extremity or abdominal wall radiotherapy radiotherapy * BMI between 35 and 40\*\*\* • MINOR 1 point: * Previous abdominal surgery * Peripheral vascular disease * Female gender * Age \>75 years old * Hospitalized at least 7 days before surgery \*, \*\*, \*\*\* mutually exclusive, highest score should be used * Capable of providing informed consent or has a legally authorized representative (LAR) if unable to provide informed consent * Willing and able to adhere to the study visit schedule Exclusion Criteria: * Subjects meeting any of the following criteria may not be enrolled in the study: * Is pregnant * Has a systemic infection at the time of surgery (ie bacteremia) * Has a remote body site infection at the time of surgery (ie UTI) * Has a known allergy or hypersensitivity to silver, adhesive, or dressing material * Has a requirement for competing therapy (ie open negative pressure wound therapy) * Is simultaneously participating in another interventional trial