title: [Vacuum assisted wound closure after excision of a high risk melanoma heel wound - using the v.a.C. heel-dressing].
abstract: Vacuum-assisted wound closure is established in acute wound treatment and assists granulation tissue as well as promotion of graft survival in critical localisation. A new vacuum-assisted wound closure device is launched for the treatment of heel wounds (V.A.C. GranuFoam Heel Dressing). First experience with this heel contour shaped dressing is presented in a case of primary surgical care of a high risk melanoma. The initial defect after excision, measuring 8 x 6 x 3.5 cm, granulated by V.A.C. treatment in 5 weeks to skin surface niveau and was successfully covered with a full thickness skin graft. The V.A.C. Heel Dressing is easy to apply, reduces vacuum leakage und increases patients' comfort and treatment safety in comparison to "classic" vacuum dressings.
authors.affiliation: Hautklinik und Poliklinik, Universitätsklinikum des Saarlandes. haddil@uniklinik-saarland.de
authors.forename: D
authors.initials: D
authors.lastname: Dill-Müller
authors.forename: A
authors.initials: A
authors.lastname: Bonowitz
authors.forename: A
authors.initials: A
authors.lastname: Wagner
authors.forename: W
authors.initials: W
authors.lastname: Tilgen
mesh_terms: D003646:Debridement / Q000295:instrumentation*; D004867:Equipment Design; D006365:Heel / Q000601:surgery*; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008545:Melanoma / Q000473:pathology / Q000601:surgery*; D008838:Microcomputers; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D009779:Occlusive Dressings; D011140:Polyurethanes; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D013536:Suture Techniques / Q000295:instrumentation*; D014618:Vacuum; D014945:Wound Healing / Q000502:physiology; D014947:Wounds and Injuries / Q000601:surgery*
chemical_list: D011140:Polyurethanes; C028279:polyurethane foam