Home / Knowledge and Education / Why does wound exudate always come back again and again?

Longterm Knowledge

Explore what we're saying, what we're sharing and what we're thinking.

Why does wound exudate always come back again and again?

Wound exudate is a normal manifestation of the body's repair mechanism, but when the amount of exudate is excessive or lasts for too long, it may indicate that the healing process is blocked. This "moisture imbalance" state not only increases the risk of infection but also causes maceration, itching, and even ulceration of the surrounding skin. In traditional care, many people are accustomed to repeatedly absorbing exudate with gauze but find that the wound is slow to scab. How should this kind of wound be scientifically cared for?

Why do traditional dressings have difficulty coping with persistent exudate?

Ordinary gauze or cotton pads manage exudate through physical adsorption, but the absorption capacity is limited and needs to be changed frequently. When the amount of exudate exceeds the carrying capacity of the dressing, the residual liquid becomes a culture medium for bacteria. More importantly, this type of dressing cannot maintain a moderately moist environment for the wound; excessive dryness will delay epithelial cell migration, while excessive moisture will damage the skin barrier. Clinical data show that the healing time of wounds using non-airtight dressings may be extended by more than 30%.

What are the unique advantages of silicone gel foam dressing?

As a new type of functional dressing, silicone gel foam dressing achieves efficient exudate management through a three-dimensional porous structure. Its outer hydrophobic membrane prevents external liquid from invading, and the inner hydrophilic foam quickly absorbs and locks the exudate, forming a gradient moisture control. This design not only prevents the exudate from overflowing and contaminating clothing, but also maintains 70%-80% humidity on the wound surface - this is the optimal range for fibroblast proliferation and collagen synthesis. More importantly, the silicone gel layer on the surface of the dressing can reduce mechanical damage during replacement and protect fragile new tissue.

How to standardize operations during home care?

Before use, the wound should be gently rinsed with saline to avoid secondary injury caused by rubbing vigorously. Cut the dressing to 1-2 cm larger than the wound edge to ensure complete coverage. For joints, it is recommended to choose a ductile, specially-shaped dressing to reduce tension. The frequency of replacement needs to be dynamically adjusted according to the amount of exudate: it may need to be changed daily in the early stage, and it can be extended to 2-3 days after the exudate decreases. Pay special attention to whether the edge of the dressing is curled and whether the skin appears pale or wrinkled, which are early signs of maceration.

What signs require immediate medical attention?

If the exudate is found to be yellow-green with a foul odor, or the redness and swelling around the wound expands to more than 2 cm, it indicates that infection may occur. In addition, when the dressing is frequently soaked and still quickly saturated after replacement, or the patient suddenly develops systemic symptoms such as fever and chills, home care should be suspended, and medical treatment should be sought in time. It is worth noting that the wound healing curve of patients with chronic diseases (such as diabetes and vascular diseases) is usually more complicated, and the care plan needs to be adjusted under professional guidance.

How to balance exudate management and healing promotion?

The modern wound care concept emphasizes "holistic management" rather than simply controlling fluid. When choosing silicone gel foam dressings, comprehensive intervention should be carried out in combination with the cause of the wound: for venous ulcers, pressure therapy is required, diabetic foot requires enhanced blood sugar management, and pressure sores require regular turning over to reduce pressure. It is recommended to record the amount of exudate, color, and changes in wound size every day. These data can help medical staff judge the healing trend. When the exudate gradually turns light yellow and the amount decreases, it can be gradually transitioned to hydrocolloid dressings to promote epithelialization.

For wound exudate management , choose dressings with intelligent moisture control functions and follow a scientific care regimen. The emergence of silicone gel foam dressings provides a solution for exudate management from passive adsorption to active regulation, but the final efficacy still depends on the caregiver's precise control of the wound microenvironment. For more information on Innomed®Silicone Foam Dressing, refer to the Previous Articles. If you have customized needs, you are welcome to contact us; You Wholeheartedly. At longterm medical, we transform this data by Innovating and Developing Products that Make Life easier for those who need loving care.

Editor: kiki Jia