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Wound Management

Granulating

Authors: Hasan Gökcer Tekin, MD, Christian Kaare Paaskesen, Med. Stud, Magnus Avnstorp, MD, Bjørn Thomas Crewe, MD and Consultant wound specialist

Definition: Natural, healthy, new connective tissue and microscopic blood vessels that form on the surfaces of a wound during the healing process. Granulation tissue typically grows from the surface of a wound bed and fills the wound  

Description: Clean. Often bulgy, beefy and red/deep pink colored lumps over the surface. No slough present.

Treatment aim:  Promote granulation tissue and remove slough and excessive exudate to provide a healthy base for epithelialization. 

Wound dressing (dry wounds): Hydrocolloids, tulles, silicone dressings

Wound dressing (wet wounds): Foam dressing. hydrofiber, superabsorbents, NPWT

Wound exampels:

Granulation tissue without slough

Wound bed fully covered in granulation tissue without slough or fibrin present. Surrounding skin with hemosiderin stain and eczema.

Achilles tendon – granulated wound

Wound bed (Achilles tendon) with almost full coverage of granulation tissue. A small part of the tendon was still exposed, but no fibrin or slough was present and the tendon was embedded into the granulation tissue.
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