Vacuum-Assisted Closure (V.A.C.)

The V.A.C. is the latest advancement in wound closure therapy. This treatment minimizes hospitalization, increases outpatient comfort, and achieves dramatic results. This device was invented and developed by our own physicians at The Center for Comprehensive Wound Care to treat those wounds that may have previously been considered untreatable.

The V.A.C. treatment applies localized negative pressure to draw the edges of the wound to the center of the site. The negative pressure is applied to a special dressing positioned within the wound cavity or over a flap or graft. By applying pressure directly to the wound, we are able to remove the fluid that causes swelling, stimulate cellular growth, increase blood flow, and promote an increased healing response.

The V.A.C. used in various wound stages.*
abdominal wound
chronic chest wound
spider bite
wound through body
*The wounds shown here are intended for medical purposes and are graphic in nature.

Wound Stages


Nonblanchable erythema of intact skin, the heralding lesion of skin ulceration.


Partial thickness skin loss involving epidermis, dermis, or both. The ulcer is superficial and presents clinically as an abrasion, blister, or shallow crater.


Full thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia. The ulcer presents clinically as a deep crater with or without undermining of adjacent tissue.


Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures (e.g., tendon, joint capsule). Undermining and sinus tracts may be associated with Stage IV pressure ulcers.

Quick Reference

Plastic and Reconstructive Surgery

Patient Information
Academic Office
Research Lab 336-716-2722

Aesthetic Surgery Offices







Plastic and Reconstructive Surgery (Main Campus)

Wake Forest Baptist Health

Medical Center Boulevard

Winston-Salem, NC 27157-1075


Plastic and Reconstructive Surgery (Greensboro)

1331 N. Elm Street

Suite 100

Greensboro, NC 27401-6303


Cosmetic Surgery

1450 Professional Park Dr.

Suite 300

Winston-Salem, NC 27103



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Last Updated: 06-18-2015
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.