Wound Granulating

Granulating wound Granulating wound is a deep skin defect in the form of limited gray or black foci randomly covered with granulations.

Granulating wounds often occur after scarring of skin grafts, during various purulent-inflammatory processes.

The main manifestations of a granulating wound

Initially, when the process appears, the wounds resemble infiltrative-ulcerative manifestations, followed by the formation of solid nodes without clear boundaries. The granulations are dirty gray or whitish in color, clearly raised above the surrounding tissues and inclined towards the apex. As they resolve, they ulcerate, are replaced by dense yellowish fibrous tissue and heal with a scar. When the location is undermined, pyogenic microbes enter the lumen of the scar. The superficial location of granulations contributes to the constant supply of pyogenic bacteria. The presence of a flap of skin adjacent to the inner surface of the granulation supports the pathological process and does not allow it to quickly subside. The inflammatory process in the thickness of fibrosis persists after the disappearance of all symptoms of inflammation from tissues adjacent to the affected skin. The subcutaneous tissue continues to be affected for a long time. Without treatment, the scar is located along the axis of the lesion.

Diagnostics of granulating wounds. X-ray examination, angiography, ultrasound and tomography, arthrography allow us to establish etiopathogenesis.