[3-dimensional documentation of wound-healing].
The objective evaluation of the course of wound-healing represents a substantial parameter for the quality assurance of a modern wound management in chronic wounds. Established procedures exclusively based on a two-dimensional measurement of the wound surface with planimetry or digital photo documentation in combination with a metric statement of size. Thus so far an objective method is missing for the evaluation of the volumes of chronic wounds. By the linkage of digital photography, optical grid by means of digital scanner and an image processing software in co-operation with the company RSI we were able to do an accurate 3-dimensional documentation of chronic wounds (DigiSkin). The generated scatter-plots allow a visual, computer-assisted 3-dimensional measurement and documentation of chronic wounds. In comparison with available systems it is now possible for the first time to objectify the volume changes of a chronic wound. On the basis of a case report of a female patient with an venous leg ulcer, which has been treated with a vacuum closure therapy before and after performing a mesh-graft transplantation, we would like to describe the advantages and the resulting scientific use of this new, objective wound documentation system in the clinical employment.
Dermatologische Klinik und Poliklinik, Universitätsklinikum Essen.
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A
Körber
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S
Grabbe
J
J
Dissemond
D003131:Combined Modality Therapy; D003627:Data Interpretation, Statistical; D003646:Debridement; D004282:Documentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D021621:Imaging, Three-Dimensional / Q000295:instrumentation*; D008875:Middle Aged; D009779:Occlusive Dressings; D010781:Photography / Q000295:instrumentation*; D011182:Postoperative Care; D016038:Skin Transplantation; D012984:Software; D014618:Vacuum; D014647:Varicose Ulcer / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology*