Many post-operative patients, “talk about sarcoid”, because some people are repaired again because of this. After going through the pain of surgery, it is easy to relax, but it is hard to avoid worrying and fearing when you have to move the knife and cut again.
What is a sarcoma? Do sarcomeres have a role to play? When do they need to be trimmed? Is there a way not to trim?
Here we will answer these questions one by one.
1.What are meat buds?
The fresh meat in the process of wound repair
The term “granulation” in our mouth actually refers to “granulation tissue”.
Granulation tissue is the newborn capillary-rich fibrous connective tissue that is formed to replace necrotic tissue in the process of tissue injury. Granulation tissue is an essential tissue in any wound repair process.
To the naked eye, the surface of granulation tissue is fine-grained, bright red, soft and moist, easy to bleed without pain when touched, and resembles tender flesh, hence the name “granulation”.
Small fresh meat in the process of lower limb ulcer repair
2.Characteristics of meat buds
Very easy to bleed but not painful
The granulation tissue often contains a certain amount of edema fluid, so it looks fresh and tender, and sometimes it rises up to the plane of the wound.
The granulation tissue contains abundant capillaries with thin walls, so a small amount of blood may also ooze when gently touched during the dressing change.
However, the granulation tissue does not contain nerve fibers, so even if touched, the pain is not obvious.
3.The role of granulation
Remediation
Granulation tissue has an important role in the process of tissue damage repair
1.Resist infection and protect the wound;
2.Fill the wounds and other tissue defects;
3, mechanization or wrapping necrosis, thrombus, inflammatory exudate and other foreign bodies.
Therefore, the growth of granulation tissue is a normal process in the postoperative recovery of anorectal surgery.
4.End of granulation
Formation of scar
Granulation tissue can begin to appear within 2 to 3 days after tissue injury to fill the wound or to mechanize foreign bodies. Over time, granulation tissue matures in the order of its growth. Water absorption decreases with maturation, inflammatory cells decrease and gradually disappear, and capillaries become occluded and decrease in number. Eventually the granulation tissue matures into fibrous connective tissue and transforms into scar tissue.
5.Abnormal granulation
Overgrowth
At times, the granulation may also become edematous and overgrown. It appears to protrude from the wound, bleeds extremely easily, and is extraordinarily fragile. This can often be seen in some postoperative wounds of anal diseases. This is an abnormal granulation, called “pterygium” in Chinese medicine, which can cause the wound to not heal or to heal slowly, or in some cases to form a false healing. The main reasons for this are
1, the wound is too large, such as large abscesses and post-operative trauma of anal fistula;
2. Excessive tension in the wound, such as the postoperative wound of anal fissure and circumferential mixed hemorrhoids;
3.Weak body;
4, blind use of drugs to promote wound healing;
5, local impermeability, humidity, and excessive use of oily drugs.
6.Treatment of abnormal granulation
Pruning is not the only method
In order to promote faster and better healing of the wound, abnormal granulation needs to be dealt with.
1. Compress oil gauze strips when changing medication on larger wounds.
2.Clean, change the excipients in time depending on the amount of secretion and try to keep the area relatively dry.
3.Use 20% concentrated sodium chloride to wet dress the wound.
4.Concentrated saline or alum water sitz bath.
5.Protruding or turning out the trauma of the granulation will need to be trimmed in time.