What is a Granulating Wound?
Granulation describes the appearance of the red, bumpy tissue in the wound bed as the wound heals. This bumpy appearance is the visible tops of the new capillary loops as a new vascular supply develops to serve the newly forming tissue with oxygen and nutrients¹.
Changes to the normal bumpy, moist and bright red granulation tissue can indicate underlying problems. If granulation tissue develops to the extent that it sits proud of the surrounding skin, this is known as hypergranulation, or overgranulation, tissue.
The aim of treatment should be to promote a warm, moist environment through the balanced control of exudate.
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Necrotic tissue is dead or devitalised non-viable tissue which impedes wound healing.
Slough refers to the yellow/white material in the wound bed.
Epithelialisation is the final stage of wound healing and is pink/white in colour.
Cavity wounds can be defined as a wound that extends beneath the dermis.
A fungating wound develops when cancer that is growing under the skin breaks through the skin and creates a wound.
A scar may appear flat, lumpy, sunken, or coloured.
Infection can develop in any type of wound and is usually accompanied by pain, inflammation and swelling.
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1. Dealey C (2012) The Care of Wounds. (4th edn). Wiley-Blackwell, Chichester