Ulcer with granulation

[PenguinBear]

What does that mean? FIL says the nurse wouldn't explain it to him properly and just said something about skin growing?
He has a bad leg ulcer that is leaking a lot, saturating a bandage after about 30mins.

I've tried searching online but couldn't get a straight answer!

[Fluffycloudland77]

Granulation is highly vascular new tissue, it has a granular look to it hence the name. New skin grows on the granulation tissue when healing is nearly done.

It's a good thing not a bad thing.

Check what secondary dressing they are using, lyofoam extra is good for absorbing exudate. Heavy exudate isn't always a bad thing, it's just not nice for the patient to see.

[PenguinBear]

Thank you Fluffy. FIL doesn't think it's nearly healed but I haven't seen it for a week so it's hard to assess!

[Fluffycloudland77]

No, it won't have nearly healed if you can see Granulation tissue, think of it as the foundations and the skin as a fully furnished decorated house.

That's the best analogy I can come up with right now.

[PenguinBear]

Thank you, much appreciated for your time
:) (he had a dressing with silver on it before Buthelezi
Now stopped those so wonder if that has something to do with this granulation)

[ggirl]

could it be over-granulation ?
which needs treating before healing granulation can occur

[Fluffycloudland77]

District nursing know what their doing, it just takes soooo long to heal a leg ulcer.

Seal tight wound protectors are good for enabling normal bathing I used to ask doctors for these for foot wounds (am Podiatrist), most gp's haven't heard of them but I luffs them.

Nothing like bath/shower water for introducing bacteria to wounds.

[gingeroots]

penguin it's important for him to keep it up as much as poss.

Poor man if it's oozing that much ,how does he manage at night ?

How often does DN come ?

And fluffy what a fantastic wound protector ,it looks as though it would work really well .

Can I be very cheeky and ask if you know of something like this
www.healthandcare.co.uk/heel-pads-positioners/silipos-gel-heel-and-elbow-slip-over-sleeve.html
to protect my mum's ankle where she gets a tiny but v.painful pressure sore on the ankle .
I've bought this but I think too small/tight for her slightly swollen leg .

[ggirl]

has he had a doppler done , sounds like he needs compression ..and yes needs to elevate his legs

[PenguinBear]

He has his legs elevated most of the time ( though not very high, I would guess they work out as straight out at best. )Should they be higher?

He was having it dressed every 2/3 days but since they assessed it this morning, try have said it needs to be done everyday.

No Doppler no! He had iodine dressings till today but since saying he has granulation they have stopped that and just put a normal dressing on it.

[Fluffycloudland77]

Iodine can slow wound healing, it kills bacteria but slows re-generating tissue growth. Iirc.

Which I may not.

[ggirl]

weell it sounds as though the wound has nice healthy graulation tissue which is good..but if it's still very wet then sounds like he needs compression

[PenguinBear]

Do they need to be elevated more than straight out e.g. Do they need to be above his heart height wise?

[gingeroots]

As far as I know they recommend hip height ,but wait for confirmation from the professionals !

[ggirl]

Ideally elevate above hip level but if that's not possible elevation to hip level will help as well.