[Indications and results of v.a.C therapy treatments in vascular surgery - state of the art in the treatment of chronic wounds].
Almost 10 % of the population are concerned in the course of her life by chronic wounds, mortality resulting from this amount to 2.5 %. The Vacuum assisted closure (V.A.C.) therapy represents a modern procedure for the treatment of chronic wounds. Also in some first appearing offering no prospects cases hereby the Major amputation can be prevented and the majority of chronic therapy-resistant wounds can be healed. Due to first experiences with the V.A.C. therapy with the treatment of infected vascular grafts in the stage II and III after Szilágyi it also offers a success - promising option to concern the extremity and the life of the patient and to receive but also the infected graft in situ.
Karl
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Gefässchirurgische Klinik der Städtischen Kliniken Karlsruhe, Akademisches Lehrkrankenhaus der Universität Freiburg. dr.t.karl@web.de
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Voss
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D000368:Aged; D000369:Aged, 80 and over; D000672:Amputation Stumps; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003646:Debridement / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008838:Microcomputers; D009779:Occlusive Dressings; D011183:Postoperative Complications / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000601:surgery; D012086:Reoperation / Q000295:instrumentation; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D013530:Surgical Wound Infection / Q000601:surgery; D013536:Suture Techniques / Q000295:instrumentation*; D014618:Vacuum; D014647:Varicose Ulcer / Q000601:surgery*; D014689:Venous Insufficiency / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology