By the second weekly assessment, most of the slough had been dissolved or pulled into or onto the dressings, leaving all three wound beds 90% - 100% granulating. Removing dead skin or dead tissue from a wound is part of the process of cleaning it, and is absolutely vital in order for the wound to heal. In the absence of slough, visible debris, devitalised tissue or infection in the wound bed, the practice of routinely cleansing a wound during dressing changes is largely ritualistic and may actually delay healing (Flanagan, 2013). Your doctor removed dead tissue from your wound (debridement). Santyl is effective for 24 hours and must be re-applied daily to remove slough effectively. Leave the wound alone for 24 hours, then remove the dressing. Dampen a sterile piece of gauze big enough to cover the entire wound with sterile saline. Selective methods only remove the infected, damaged, or dead tissues. The 89-year-old experienced dramatic wound pain relief, greatly reducing her pain medication use; her wound closed in 7 weeks. Dampen a sterile piece of gauze big enough to cover the entire wound with sterile saline. Scrubbing or rigorously cleaning with gauze swabs a granulating wound bed may damage newly forming capillaries and disrupt fragile new tissue growth. A person may be able to treat minor wound infections at home. Wear medical gloves for sanitation purposes. We have a research team to upgrade this ointment. Slough in a wound is a recurrent issue for a large majority of patients. If desired, apply a thin layer of antiseptic ointment or petroleum jelly to the cut or scrape. Debridement is the removal of dead (necrotic) or infected skin tissue to help a wound heal. Posted on Tue, 28 May 2013 . Three times a day seems a bit much. Chronic wounds are likely to need repeated debridement as part of ongoing wound care as slough tends to reappear due to the underlying cause of the wound. You may have a bandage or a moist dressing over your wound. Pour enough over the wound to clean it as thoroughly as possible. Unlike other moist dressings, Enluxtra is able to continuously evacuate multiple products of natural autolytic debridement, such as liquefied debris of necrotic tissue and slough, along with harmful microorganisms, various pro-inflammatory components. Consequently, desloughing should not be deemed a one-off process but an on-going procedure referred to as 'maintenance desloughing'. This tissue cannot be salvaged and must be removed to allow wound healing to take place. This is why this type of open wound requires constant medical supervision and qualified personnel to take care of healing. Slough is often removed from a wound bed by debridement. TREATMENT AIM. This tissue often adheres to the wound bed and cannot be easily removed. The idea is that the soaked dressing which is placed onto the wound bed will be able to pick dead skin tissues from the wound. Necrotic tissue is dead or devitalized tissue. Hypochlorite solution helps remove the dead tissue slowly. In the absence of slough, visible debris, devitalised tissue or infection in the wound bed, the practice of routinely cleansing a wound during dressing changes is largely ritualistic and may actually delay healing (Flanagan, 2013). It does not damage healthy skin, but breaks down dead and devitalized tissue over time quite effectively. You may see foam or bubbles form on the wound surface. This should get better within a few days after the procedure. The wound under Enluxtra quickly becomes clean, and stays clean. Stage 4: The most serious wound type, a stage 4 wound will likely contain some slough and be deep down in the skin. 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