non healing ulcer with hyper granulation. what could be the management options??

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Debridement, antibiotics and skin grafting

Thank you sir
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What about hyper granulated tissue sir shall we trim and apply graft or shall we apply graft directly

You can just touch the hypergranulation with copper sulfate so that it will suppress or u can scrap it with back of BP handle
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Only skin grating.

Thank you sir
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Skin graft may not take if varicose vein/ venous hypertension is not addressed to

Thank you sir
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saline dressing and than ssg.

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Thank you sir

Debridement and ssg

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Irrigation and debridement regularly along with antibiotics and painkillers

Thank you madam
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Pus for c/sSaline dressing on alternate days when wound becomes clean and red apply split skin graft

Thank you sir
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Has the patient got chronic venous insufficiency ?

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