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IVT
hypergranulation tissue
Excessive granulation tissue that grows above the wound surface, impeding healing and graft take.
Full Definition
Hypergranulation tissue, also known as proud flesh, is an overgrowth of granulation tissue that extends above the level of the surrounding skin. In burn wounds, this excessive tissue formation can prevent proper wound closure and successful skin grafting. The tissue appears red, friable, and bleeds easily when touched. Treatment typically involves cauterization with silver nitrate or surgical trimming to bring the tissue level with the wound edges before grafting.
Usage
Usage note: Sometimes written as 'hyper-granulation tissue' but medical preference is unhyphenated.
In Context
- "Hypergranulation tissue was cauterized with silver nitrate before the scheduled grafting procedure." — Operative note
- "The presence of hypergranulation tissue delayed graft placement by one week." — Wound assessment
Also known as
proud flesh
exuberant granulation
Contrasted with
healthy granulation tissue
Don't confuse with
infection
normal granulation