Granulation vs Agranulation Tissue

[sugah-dumplin]

I am new to wound care and I have a question. I would like someone to explain to me what the difference between granulation and agranulation tissue. I know that granulation tissue cannot be in a partial thickness wound or Stage 2 wound. But if a wound is full-thickness and/or it is a stage 3 or 4 wound, how can you tell if it has granulating or agranulating tissue??? Can someone please break that down for me??? Thanks!!! :)

[carleah]

Granulation tissue is the perfused, fibrous connective tissue that replaces a fibrin clot in healing wounds. Granulation tissue typically grows from the base of a wound and is able to fill wounds of almost any size it heals. In addition, it also found in ulcers like oesophageal ulcer.

During the proliferative phase of wound healing, granulation tissue is:

light red or dark pink in color, being perfused (permeated) with new capillary loops or "buds";

soft to the touch;

moist; and

bumpy (granular) in appearance.