19 doctors weighed in:
I have a wound and there is a thick white tissue that is filling the wound bed. Does it need to be debrided?
19 doctors weighed in

Dr. Jason Campbell
Family Medicine
7 doctors agree
In brief: Depends
Not necessarily. As a wound heals there is a white/gray color at the base of the wound called granulation tissue.
Many times this can be confused with pus. Apply gentle pressure around the wound to see if there is any expression of this tissue as pus will drain and granulation (healing) tissue will not. Any increase in tenderness, redness, or warmth to the area needs medical evaluation.

In brief: Depends
Not necessarily. As a wound heals there is a white/gray color at the base of the wound called granulation tissue.
Many times this can be confused with pus. Apply gentle pressure around the wound to see if there is any expression of this tissue as pus will drain and granulation (healing) tissue will not. Any increase in tenderness, redness, or warmth to the area needs medical evaluation.
Dr. Jason Campbell
Dr. Jason Campbell
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1 comment
Dr. Kristin Cox
The thick white tissue may also be macerated wound edges, granulation tissue is red and beefy looking.
Dr. Steven Harris
Surgery - Plastics
4 doctors agree
In brief: Maybe
Without knowing more about the wound, it is very difficult to say with certainty.
Often, white tissue in the base of a wound is slough, which is dead fat (or, rarely, muscle) which certainly could be removed by debridement to speed up the healing process. It can be removed by certain dressing techiniques, also. Healthy tendon and fascia can also appear white, though, so ask your doctor!

In brief: Maybe
Without knowing more about the wound, it is very difficult to say with certainty.
Often, white tissue in the base of a wound is slough, which is dead fat (or, rarely, muscle) which certainly could be removed by debridement to speed up the healing process. It can be removed by certain dressing techiniques, also. Healthy tendon and fascia can also appear white, though, so ask your doctor!
Dr. Steven Harris
Dr. Steven Harris
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Dr. Otto Placik
Surgery - Plastics
3 doctors agree
In brief: Wound care specialis
It would be best for you to see a wound care specialist to visually inspect the wound.
It is difficult to ascertain if this is a normal "fibrinous peel" or tendon or pus or necrotic tissue. Recommendations will be based on the evaluation of the wound as well as a thorough history.

In brief: Wound care specialis
It would be best for you to see a wound care specialist to visually inspect the wound.
It is difficult to ascertain if this is a normal "fibrinous peel" or tendon or pus or necrotic tissue. Recommendations will be based on the evaluation of the wound as well as a thorough history.
Dr. Otto Placik
Dr. Otto Placik
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Dr. Martin Tyson
Addiction Medicine
3 doctors agree
In brief: Yes
There are many things that can delay wound healing, and what it sounds like you are describing is one of them. This likely represents "biofilm", or slough, or fibrin.
While they typically don't produce overt infection, they do produce substances that delay wound healing, and so should be adequately debrided.

In brief: Yes
There are many things that can delay wound healing, and what it sounds like you are describing is one of them. This likely represents "biofilm", or slough, or fibrin.
While they typically don't produce overt infection, they do produce substances that delay wound healing, and so should be adequately debrided.
Dr. Martin Tyson
Dr. Martin Tyson
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Dr. Francisco Agullo
Surgery - Plastics
3 doctors agree
In brief: Needs to be examined
Your wound needs to be examined.
White exudate or fibrinous tissue usually needs to be cleared away.

In brief: Needs to be examined
Your wound needs to be examined.
White exudate or fibrinous tissue usually needs to be cleared away.
Dr. Francisco Agullo
Dr. Francisco Agullo
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Dr. Vasu Brown
Wound care
3 doctors agree
In brief: Fascia
White tissue could be fascia be careful you can deepen the wound by debriding.

In brief: Fascia
White tissue could be fascia be careful you can deepen the wound by debriding.
Dr. Vasu Brown
Dr. Vasu Brown
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Dr. Scott Bolhack
Wound care
3 doctors agree
In brief: Wound
This is probably slough and should be debrided from the wound bed.

In brief: Wound
This is probably slough and should be debrided from the wound bed.
Dr. Scott Bolhack
Dr. Scott Bolhack
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Dr. Annette Occhialini
Surgery - Plastics
2 doctors agree
In brief: Needs to be seen
It should be looked at by your physician.

In brief: Needs to be seen
It should be looked at by your physician.
Dr. Annette Occhialini
Dr. Annette Occhialini
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Dr. David Wishnew
Wound care
2 doctors agree
In brief: Substance in wound
There are a variety of reasons that a white substance may be in a wound.
There could be an infection; it could be debris and/or slough; or it could be biofilm. Any and all of these will halt the natural progression of healing of a wound. If uncertain, a small punch biopsy of the substance would benefit and allow you to focus therapy.

In brief: Substance in wound
There are a variety of reasons that a white substance may be in a wound.
There could be an infection; it could be debris and/or slough; or it could be biofilm. Any and all of these will halt the natural progression of healing of a wound. If uncertain, a small punch biopsy of the substance would benefit and allow you to focus therapy.
Dr. David Wishnew
Dr. David Wishnew
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Dr. Donald Vierling
Wound care
1 doctor agrees
In brief: Need examination
From the description given one cannotdetermine the appropriate answer. The material could be fascia, tendon sheath, or other fibrous material.
The main two questions are: is there infection present, and is the tissue viable? A proper wound care evaluation should be performed.

In brief: Need examination
From the description given one cannotdetermine the appropriate answer. The material could be fascia, tendon sheath, or other fibrous material.
The main two questions are: is there infection present, and is the tissue viable? A proper wound care evaluation should be performed.
Dr. Donald Vierling
Dr. Donald Vierling
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Dr. David Hardin
Wound care
1 doctor agrees
In brief: To see Dr
Thick white tissue in the wound bed very likely needs to come out.
This most likely represents "slough" which is dead and dying tissue. Warning: the need to remove slough depends on the type of wound, the blood supply to the wound and the presence of infection. It is possible that debridement might be dangerous in the wrong situation. I would recommend this be seen by a wound professional.

In brief: To see Dr
Thick white tissue in the wound bed very likely needs to come out.
This most likely represents "slough" which is dead and dying tissue. Warning: the need to remove slough depends on the type of wound, the blood supply to the wound and the presence of infection. It is possible that debridement might be dangerous in the wrong situation. I would recommend this be seen by a wound professional.
Dr. David Hardin
Dr. David Hardin
Thank
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