Wet wound with granulating tissue,
yellow slough, and some black eschar
(not infected)

Wet wound with granulating tissue, yellow slough, and some black escharGoals of treatment:
  • to heal the wound
  • prevent maceration of periwound skin

Things to keep in mind:

  • relieve the pressure that caused ulcer
  • decrease potential of maceration of periwound skin
  • minimize frequency of dressing changes
  • if exudate is increasing, consider infection
  • maximize nutrition and hydration

Suggested treatment*:

  • Aquacel would be the suggested dressing* for this wound
  • Spray periwound skin with No Sting Spray to protect it from maceration
  • Place Aquacel sheets in the wound bed and cover with dry dressing. Cover dressing choice depends on wetness: gauze and abd pads for daily changes, Alldress for changes q2-3 days or a foam dressing (Allevyn, Mepilex) for changes q3-5 days.
  • Multiple layers of Aquacel can increase time between dressing changes
  • Aquacel should be changed when it has turned to a gel

* All suggested treatments and dressings in this web site were evidence based choices by the authors and by no means represent the only dressing option available.

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The content and images on the Wound Care Site are intended for Health Professionals and may be disturbing to some.
Last Updated February 1, 2009 | © 2007, LHSC, London Ontario Canada