Skip to main content
Advanced Technical IVT

hypergranulation

Excessive growth of granulation tissue above the wound surface level, impeding proper healing.

Full Definition

An abnormal wound healing response characterized by the overgrowth of granulation tissue that extends above the normal wound surface level, creating a raised, often friable tissue mass. Also known as "proud flesh," hypergranulation tissue appears bright red, bleeds easily, and can prevent proper epithelialization and wound closure. In burn wounds, this condition can occur in partial-thickness injuries or around graft sites, particularly in areas of chronic irritation or infection. Treatment typically involves topical silver nitrate application, compression, or surgical removal of excess tissue. Hypergranulation can significantly delay healing and may result in cosmetic and functional problems if not properly managed.

Usage

Usage note: Distinguish from normal granulation tissue by elevation above wound surface.

In Context

  • "Hypergranulation tissue was treated with silver nitrate applications." — Wound care note
  • "The donor site showed hypergranulation requiring surgical trimming." — Surgical follow-up

Also known as

proud flesh overgranulation

Contrasted with

delayed granulation

Don't confuse with

granulation tissue hypertrophic scar

Editors from these organisations have used our services since 1998

Reuters BBC Oxford University Press Penguin Random House Springer Microsoft Suncor Energy United Nations Fisher Investments IBM The Home Depot KODAK CHEVRON