Professional Documents
Culture Documents
(A Case Report)
Widgerow AD, MBBCh, FCS(SA Plast), et all. Department of Plastic Surgery, University
of the Witwatersrand and Irvine CA, USA 2010
Over granulation also described as Hypergranulation,
exuberant granulation, hyperplasia of granulation,
hypertrophic granulation or proud flesh
Widgerow AD, MBBCh, FCS(SA Plast), et all. Department of Plastic Surgery, University of the
Witwatersrand and Irvine CA, USA 2010
A Case Report
Male, 26 years old, with wound at anterior of
chest, shoulder, left arm, left thigh, right thigh
cause of burn injury since oct 2013
Thorax and left shoulder
region
October 2015, 5th
Plan : Albothyl + dressing + STSG on the right femur at STSG on the right femur
STSG November 2015, 26th after 9 days
Healthy Unhealthy
Red, shiny and no bleed Dark red/blue, growing and exceeding
Epithelization (+) above the skin, bleed easily
Epithelization (-)
Jackie Stephen-Haynes Tissue Viability for Worcestershire Primary Care Trusts and
University of Worcester
The built of granulation tissue is essentially
that of immature proliferative tissue
consisting of an extracellular matrix of
proteins,such as collagen type III, a precursor
to type I collagen which replaces it as the
tissue matures
Antibiotics topical
Moir J, et all.Haelan Tape for the treatment of overgranulation tissue. Wounds UK 2007
Wound Management
Non operative
Silver nitrate : inhibit the process
of proliferation of fibroblasts and
functions as a strong oxidizing
agent and can take off free
radicals, it reacts with organic
material oxidizes, coagulation of
tissue and eliminate bacteria.
Moir J, et all.Haelan Tape for the treatment of overgranulation tissue. Wounds UK 2007
Wound Management
Non operative
Dressing :low oxygen levels and high moisture
can stimulate granulation tissue formation
vapour permeable dressings (increased
oxygen) with low moisture (absorbent
dressing) to replace any occlusive dressing
that may have been used
Moir J, et all.Haelan Tape for the treatment of overgranulation tissue. Wounds UK 2007
Wound Management
Operative
Widgerow AD, MBBCh, FCS(SA Plast), et all. Department of Plastic Surgery, University
of the Witwatersrand and Irvine CA, USA 2010
Wound Management
Operative
Skin graft
If the overgranulation wounds had a good
capillary blood vessels. (appears pink as well
as not easily bleed when touched and without
pus)
Widgerow AD, MBBCh, FCS(SA Plast), et all. Department of Plastic Surgery, University
of the Witwatersrand and Irvine CA, USA 2010
Overgranulation Management Flow Chart
Ramstadius B, Blanchfield D, (2009) Common treatments for hypergranulation
CONCLUSION
Male, 26 years old, with overgranulation
wound at chest, shoulder, left arm, left thigh,
right thigh cause of burn injury since oct 2013
Wound management for this case are
Burnazin zalf, corticosteroid inj, albothyl,
dressing and skin graft
Skin graft is still one of the methode of choice
with the good result
THANK YOU