A method for treating wounds, comprised of the application of reduced pressure to a wound site and alteration of the temperature over said wound. A system for wound healing, comprising: a substantial impermeable drape sized to cover and enclose the wound creating a reservoir and adapted to maintain reduced pressure at the site of the wound a sterilizable porous cooling pad incorporated into a wound sponge adapted to provide localized cooling to said wound, said cooling pad located between said wound and said cover or over the drape a reduced pressure supply mechanism capable of providing subatmosphere pressure over said wound site.