Abstrak:
Hypergranulation is a condition where excessive granulation tissue forms in a wound, inhibiting the wound healing process due to disruption of the epithelial migration process. Chemical cauterization with silver nitrate is said to treat hypergranulation by burning tissue and increasing the rate of wound healing. This case study aims to highlight the impact of chemical cauterization with silver nitrate to treat hypergranulation in wounds and accelerate the rate of wound healing. Methods a case study was conducted on 4 female patients with an age range of 19-65 years consisting of 3 ingrown nail wounds, one diabetic foot ulcer. Chemical cauterization: silver nitrate powder is applied over the wound bed. Change the dressing every 3 days with evaluation of the level of healing using the Bates-Jensen Wound Tool (BWAT). The results of this study found that chemical cauterization increased the rate of wound healing in cases of hypergranulation within 1-2x use. Two patients reported discomfort: heat when cauterizing chemicals were applied, two patients had no problems when applied. The BWAT score showed a decline to the improvement stage. Discussion in hypergranulation, chemical cauterization with silver nitrate is the right choice, although there are several disadvantages to using silver nitrate: damage to the area around the wound, increased pain, potential for tissue necrosis and infection, and can cause systemic problems if used over large areas (Jaeger et al, 2016; Brown, 2019). This can be overcome by applying hydrocolloid dressing or petroline gel to protect the periwound area. Conclusion accurate assessment and management of unhealthy granulation tissue is essential to accelerate wound healing and prevent further complications.
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