Vacuum dressing (1) for oedema-prevention vacuum therapy for open or closed lesions or wounds, which comprises: a sealing adhesive sheet (5) a core, under said sheet (5), that comprises an external component (2) with pores (2a) and a protective internal component (3), of variable permeability and which may be adhesive or non-adhesive and an aspiration tube (4) that creates tangential centripetal pressures under the surface (10) of said dressing (1). Said dressing (1) is sufficiently thick to incorporate a drainage device using Redon drains (9) provided with holes (9a) at the ends thereof, one inserted in said external component (2) and the opposite one in the operating field (8). A second internal component (3b) with a second drainage device may be incorporated. The dressing provides selective, controlled, centripetal "aspirating" compression contact thereof with the perilesional skin provides a significant time-saving and enhanced, sealed fixing it gives rise to a greater expansion effect on the perilesional skin and it may be used in wound therapy (phases I, II and III).Apósito de vacío (1),para Terapia por Vacío antiedema de lesiones o heridas, abiertas o cerradas, que comprende lámina adhesiva sellante (5)núcleo, bajo dicha lámina (5), que consta de componente externo (2)de poros (2a)y componente interno (3), protector,de permeabilidad variable, adherente o notubo (4) para aspiración que condiciona presiones centrípetas tangenciales,bajo la superficie (10)de dicho apósito (1).Dicho apósito (1) presenta grosor suficiente para incorporar un dispositivo de drenaje por redones (9) provistos de orificios (9a) en sus extremos, uno insertado en dicho componente externo (2) y el opuesto en el plano operatorio (8). Puede incorporar un segundo componente interno (3b) con un segundo dispositivo de drenaje. Proporciona una compresión "aspirativa", selectiva, centrípeta y controlada su contacto con la piel perilesional proporciona un significativo ahorro en tiempo y mayor se
