Having a very necessary role in the healing process, proud flesh also known as exuberant granulation tissue, which is tissue that appears to be granular or pebble like, is a normal part of the wound healing process. It is made up of fibroblasts and blood vessels that do not have nerve supply, and can appear anywhere on the body. Sutured wounds do not form proud flesh, rather it forms in open wounds that are left to heal. Proud flesh helps the wound become smaller, resists infection, and helps skin cells cover the wound, but can become problematic if it overly produces.
The Difference Between Granulation and Proud Flesh
Protruding granulation tissue is known as proud flesh and prevents the wound from growing skin which prevents proper healing. If not cared for properly, proud flesh can become large and appear tumor like. Managing it at this point becomes problematic.
Factors Which Cause Proud Flesh
There are several factors which may cause proud flesh. Infection, reduced blood supply, limited soft tissue, and immoderate movement of the wound. It is especially harsh on lower limbs which have the most difficulty producing soft tissue making it become more susceptible to bacterial infections, especially if it forms over joints.
How to Prevent Proud Flesh
Immediate care is needed in the prevention of proud flesh. Serious wounds should be treated by a veterinarian immediately. Bandaging protects against bacterial infections and formation of proud flesh. Thick cotton gauze and elastic bandaging prevent excessive movement and provide pressure over the tissue as well as repeals dirt, extreme moisture, and other factors. Keep in mind that the gauze should be conforming with non-stick padding. This would insure a healthy environment that encourages proper healing. All antibiotics, bandaging, and gauze can be purchased from a pets and pet supplies store.
Treating Wounds That Have Developed Proud Flesh
Depending on the severity of proud flesh, will determine the proper treatment for proud flesh. Wounds with moderate overgrowth may only require the use of topical steroid ointment which could be applied directly to the growth and bandaged for prevention of further damage. Antibiotics may also be necessary to aid in the healing process. Be mindful with the use of extreme chemicals as they slow the healing process. It is crucial that wounds be changed every 24 hours to insure proper healing. Surgery which is usually painless because of the lack of nerve endings, is required to remove more severe overgrowth of proud flesh which would allow proper tissue growth. Because of the risk of blood loss, extreme cases of proud flesh must be removed in stages under anesthesia. Splints and/or casts may also be required after surgery. Laser, skin grafts, and other procedures may also be required for proper healing and recovery.
The prevention of proud flesh is much more easier to deal with than allowing it to become present. Proper bandaging is a big step in the prevention a proud flesh. However, immediate attention to the wound is the best way to prevent formation.