1 minute read
What Do I Do if I See Necrotic Tissue?
from Home Doctor
by tattooedtech
Usually at the beginning of treatment, for the first two weeks, you will use one daily, switching to one every two or three days as the amount of discharge decreases. Whatever the cause of the ulcer, it is very important to keep it dry and free of purulent discharge. If necessary, the patient will be given oral antibiotics to improve the infection. If the ulcer has a very bad odor, it can be cleaned with vinegar or Listerine. Both are bacteriostatic products that prevent overpopulation of microorganisms in the tissue.
What Do I Do if I See Necrotic Tissue?
Advertisement
Sometimes a pressure ulcer can go unnoticed, especially the sacral ones that may be forming in the intergluteal fold and are not noticed until they are already advanced. In these cases, there may be black tissue that causes much alarm, but it is actually skin, fat, and cellular tissue that has lost its irrigation due to excessive pressure. Generally, this tissue is dry and does not have any specific smell. It is dead skin and must be removed to promote wound healing. The procedure to remove the area with necrosis is called necrectomy. This is a surgical technique that is easy to perform and dramatically improves the progression of the ulcer. To proceed with the removal of the necrotic tissue, you should have scissors or a scalpel Maria Kaz Leo, Own work, CC BY 4.0 blade number 11, gauze, gloves, hydrogen peroxide or solution, and a bio-waste container or an exclusive garbage bag to dispose of these remains.
Step 1
Clean the area you are going to work on, and prepare all your material to have on hand. The tissue you are going to work on is dead skin and fat, therefore there is no sensitivity and no need to apply any type of anesthesia.
Step 2
Identify the area you need to remove. With gauze, secure the tissue between your fingers and start cutting with the scissors or scalpel underneath, without going too deep. The limit is set by the depth of the necrotic scab.
Step 3
Check that there are no necrotic areas left. It is necessary to remove all or most of that tissue. Underneath the necrotic area, there is usually an elastic, rubbery, whitish-colored tissue called fibrin.
