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If anyone could direct me to an evidence-based source or feedback their understanding on the viability of macerated skin on wound border edge. I haven't been able to find the info online. Question has arisen as one clinician advised not to debride surrounding macerated tissue on raised border edge as macerated tissue will recover, another clinician is debriding. Ideally would be looking for article or book reference although expertise with reasoning much appreciated. Thank you.

Am looking for a general answer. I am not talking about callus or a specific case or prevention of maceration through change in wound dressings to increase absorption of exudate.

 

Wiebke,
Macerated edges are seen due to increased exudate as the tissues get over hydrated.
does it need to be debrided? depends if the ulcer edges are attached to the wound base. if it is lifted off the base i would debride it. but the problem rarely ends there if we cannot identify the sourse of the hydration. is it venous pooling? or is there a leakage of synovial fluid. Compression can manage venous pooling but wont be able to do much if there is a synovial fluid leakage.

sorry to include more than you asked, but to say debride or not depends on the source of hydration.

Hope this helps

 

Thank you for the comprehensive response David. All made perfect sense and I will take this on board. I did think of removing this question as there are so many different textures macerated skin can have which will influence the clinician's decision making.

Kind Regards

Wiebke