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In short, observing granulation tissue in the bed of the wound means that the wound is progressing from the inflammatory phase of healing to the proliferative phase of healing. Several important cellular developments are occurring.
epithelial tissue (depending on the part of the body it covers) that slowly cover granulation tissue as the wound heals. Epithelial tissue will not move over the wound until the granulation tissue is on a level with surrounding skin, as new epithelial cells migrate from the wound
Granulation tissue helps fill the wound bed, providing a scaffold for new tissue growth and promoting wound closure. Additionally, it plays a crucial role in angiogenesis, forming new blood vessels essential for delivering oxygen and nutrients to the healing tissue.
These wounds may present as pressure injuries or other wound types, including, although not limited to burns, trauma wounds (skin tears, abrasions, lacerations), vascular wounds, diabetic wounds, and surgical wounds.
Visual identification of hypergranulation tissue can be done by observing the wound bed. Hypergranulation tissue typically presents as a raised, rounded mass that extends beyond the wound edges. It has a distinct appearance, often resembling raw, beefy tissue with a shiny or wet surface.
The wound base demonstrates healthy red granulation tissue. Granulation tissue can be noted from the healthy wound buds that protrude from the wound base. During wound healing, granulation tissue usually appears during the proliferative phase.
Hypergranulation tissue indicates a dysfunctional wound microenvironment, and it can lead to ostomy pouch leakage, delayed wound healing, or wound stagnation. Debridement, topical corticosteroid application, and PVA antimicrobial dressings are accessible treatment options.
This photographic guide to the Bates-Jensen Wound Assessment Tool (BWAT©) is intended to be used with the paper tool available at: http://www.geronet.med.ucla.edu/centers/borun/modules/Pressure_ulcer_prevention/puBWAT.pdf
Promoting Granulation Tissue Formation: Controlled slough removal from the wound bed creates a conducive environment for forming granulation tissue, a vital step in wound healing. Granulation tissue is rich in blood vessels and fibroblasts, facilitating wound contraction and epithelialization.
This topic reviews the mechanism of wound healing and repair, the role that granulation tissue plays in that process, the pathophysiology resulting in chronic wounds and persistent granulation tissue, and the clinical significance of granulation tissue.