title: [Vacuum-assisted Therapy in Vascular Surgery].
abstract: Since the first use of vacuum-assisted therapy (V.A.C.) in wound care, the indications of this therapy have rapidly expanded. Vascular surgery presents many types of problematic wounds. In the current cost conscious atmosphere, there is a great demand for simple and effective therapies. The V.A.C. system has a lot of potential in the management of vascular wounds. In this article we present indications for vacuum-assisted therapy in vascular surgery: chronic leg ulcers, mesh skin graft, wound care after fasciotomy for compartment syndrome, problematic inguinal wound, false aneurysms, diabetic foot gangrene and amputations with marginal circulations.
authors.affiliation: Klinik für Herz- und Gefässchirurgie Bern. georg.heller@insel.ch
authors.forename: G
authors.initials: G
authors.lastname: Heller
authors.forename: H
authors.initials: H
authors.lastname: Savolainen
authors.forename: M K
authors.initials: MK
authors.lastname: Widmer
authors.forename: V
authors.initials: V
authors.lastname: Makaloski
authors.forename: M
authors.initials: M
authors.lastname: Menth
authors.forename: J
authors.initials: J
authors.lastname: Schmidli
mesh_terms: D003646:Debridement / Q000295:instrumentation*; D017719:Diabetic Foot / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008838:Microcomputers; D009779:Occlusive Dressings; D012086:Reoperation / Q000295:instrumentation; D016038:Skin Transplantation / Q000295:instrumentation; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D013530:Surgical Wound Infection / Q000601:surgery; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome; D014618:Vacuum; D014647:Varicose Ulcer / Q000601:surgery; D014652:Vascular Diseases / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology