Removal of black necrotic wound is prerequisite for initiation of wound healing process
Black necrotic wounds (non-ischemic)
Level of exudate: low
Necrotic tissue or eschar consists of an accumulation of dead cells, tissue and cellular debris. Removal of wound eschar through appropriate debridement techniques (surgical or medical) is a prerequisite for the wound healing processes to start.
Remark : sharp debridement can bring about haemorrhage. Conversely, eschar is normally not the result of haemorrhage but much more often of ischaemia.
Therapeutic objectives | Removal of dry necrotic tissue |
Procedures/Actions | Hydrating the wound with hydrogel Mechanical or surgical debridement |
Wound cleansing and wound bed preparation | Prontosan® Wound Gel X |
Primary wound dressing | Deep: Askina® Gel Superficial: Askina® Gel |
Secondary wound dressing | Askina® Derm |
Dressing replacement frequency | Up to 3 days |