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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.