[The use of v.a.C.-system in wound management for borderline indications].

Vacuum sealing has increasingly become established as a method adapted to treat acute and chronic wounds. Temporary sealing of the open abdomen represents an alternative therapeutic approach. The principle of inverse tissue expansion prevents ventral herniae from developing in the course of delayed abdominal-wall closure. In patients undergoing vascular surgery, the method can be uneventfully adopted in treating chronic ulcer following revascularisation. The accelerated healing process, while reducing the duration of therapy, turns out to be cost-efficient.