Dermatology Wound Healing / Burns / Stasis Ulcers Venous Stasis Ulcers

Necrotic tissue in ulcer

John L. Bezzant,M.D.

If an ulcer has any necrotic tissue, it then has to be removed. The necrotic tissue simply provides potential nutrition for the bacteria, and is of no benefit to the healing process. I found that ulcers on the malleoli are very sensitive and the slightest touching or movement induces significant pain. I would recommend injecting anesthetic before debriding these.