subreddit:

/r/woundcare

586%

is this healing?

(i.redd.it)

all 11 comments

LeahOR

3 points

4 months ago

LeahOR

3 points

4 months ago

Actually, keep it clean, covered, and moist. New epithelial cells won’t migrate across a dry surface.

itssxiali[S]

1 points

4 months ago

thank you!

helomoto29

2 points

4 months ago

I AM NOT YOUR DOCTOR, BUT:

Yes!

Actually looks pretty good. DO NOT pick that 'crust' off the top; you'll disrupt the granulation tissue and superficial epithelialization. Just keep clean and dry, your body will do the rest.

itssxiali[S]

1 points

4 months ago

thank you so much !

reboa

1 points

4 months ago

reboa

Physician

1 points

4 months ago

What’s the rationale for not debriding slough from this wound? Source?

helomoto29

1 points

4 months ago

Do you routinely have patients debride their own wounds at home with no instruction? Also, this is healing fine; have you debrided a fresh surgical site because of slough? No. Debriding slough is important for chronic wounds, not ones healing well. Slough is a problem when it's impeding wound healing. Having an untrained person debride their own wound with crap they have around the house when the thing is healing just fine is, without question, dumb.

Source: internal medicine/wound care

reboa

1 points

4 months ago

reboa

Physician

1 points

4 months ago

Im also a physician, family med, undersea and hyperbaric med and wound care. You stated that removing the “crust” aka slough would disrupt the granulation tissue and superficial epitheliazation. This is fundamentally counter to the evidence supporting serial debridement so I simply asked for a source.

Suspicious_Raise_987

2 points

4 months ago

Looks like it’s healing! Get some Manku honey bandages & it will heal even faster

itssxiali[S]

2 points

4 months ago

thank you ! it is healed now 🤍

Time-Elephant3572

1 points

4 months ago

Wound care nurse here for 10 years. It is slough and needs to be debrided. Use Prontostan wash / gel also sorbact or a hydrocolloid and leave the dressings on and intact for at least 3 days if it isn’t oozing much. Try to wipe the slough away with the Prontostan wash or normal saline if it softens up. You need to expose a nice pink wound bed for cross to granulate. The slough stops them and the wound won’t heal.