Polypoid granulation tissue in pressure ulcers: Significance of describing individual ulcers.

Abstract Granulation tissue formation is required for the healing of deep pressure ulcers. The wound healing process is often delayed at the stage of granulation tissue formation. The pathogenesis of pressure ulcers showing granulation tissue may vary; however, no terminology has been defined to des...

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Publicado en:Journal of Tissue Viability Vol. 27; no. 4; pp. 217 - 221
Autores principales: Takahashi, Yoshiko, Nagai, Yayoi, Kanoh, Hiroyuki, Mizokami, Fumihiro, Murasawa, Yusuke, Yoneda, Masahiko, Isogai, Zenzo
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Nov2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2018
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        10.1016/j.jtv.2018.07.002
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        atl: Polypoid granulation tissue in pressure ulcers: Significance of describing individual ulcers.
      aug:
        au:
          Takahashi, Yoshiko
          Nagai, Yayoi
          Kanoh, Hiroyuki
          Mizokami, Fumihiro
          Murasawa, Yusuke
          Yoneda, Masahiko
          Isogai, Zenzo
        affil: Department of Nursing & Health, School of Nursing & Health, Aichi Prefectural University, Nagoya, Aichi, Japan
      sug:
        subj:
          Pressure Ulcer Pathology
          Wound Healing Psychosocial Factors
          Granulation Tissue Metabolism
          Neoplasms, Muscle Tissue Metabolism
          Human
          Retrospective Design
          Sacrum
          Foot
          Pressure Ulcer Classification
          Chi Square Test
          Data Analysis Software
          Descriptive Statistics
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Abstract Granulation tissue formation is required for the healing of deep pressure ulcers. The wound healing process is often delayed at the stage of granulation tissue formation. The pathogenesis of pressure ulcers showing granulation tissue may vary; however, no terminology has been defined to describe existing ulcers. Thus, we previously defined terminology for granulation tissue to describe individual ulcers. Based on these terms, we retrospectively evaluated the findings of deep pressure ulcers. In particular, we focused on polypoid granular tissue, a unique morphological feature. Polypoid granulation tissues were frequently observed in pressure ulcers over the sacrum compared with those over the foot. Chronological observation of a few cases indicated that external forces from specific directions during the healing process caused the development of polypoid granulation tissue. In addition, most pressure ulcers showing polypoid granulation tissue exhibited a trench-like appearance in individual wounds. Based on these observations, polypoid granulation tissue may generate from specific external forces, which lead to wound deformity. Morphological findings in an individual wound may be useful to predict the mechanical factors on existing pressure ulcers. Highlights • We previously defined terminology for granulation tissue to describe ulcers. • Polypoid granulation tissue was defined as isolated granulation tissue. • Polypoid granulation tissue was characteristically found in sacral pressure ulcers. • Polypoid granulation tissue exhibited a trench-like appearance. • Morphological findings in wounds may predict mechanical factors on existing ulcers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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