albertsm

I have been on a wound vac for approximately 3 weeks. After the first application and change (2 days) at the hospital with direction from a KCI rep, the wound looked great with a lot of granulation tissue visible. Since then I am not seeing much (if any) granulation tissue durring dressing changes. I am going to a wound clinic a couple of times a week for changes and I have some questions. My wound was originally 5.5 cm x 2.5 cm x 2.5 cm 1. Should granulation tissue generally be visible througout the healing process or is this typically only seen early on? 2. The nurses that have been changing my vac seem to push the excess sponge (1-3 cm above surface) into the wound and they apply the drape. From what I've read the sponge should be placed gently into the wound and not forced. Is this true and could this be the reason I am not seeing as much granulation tissue durring vac chages? I'm a little concerned because my doctor initially estimated 3 weeks to heal and I still have a ways to go. When I first got the vac I was very impressed with the healing from just the first 2 days. I have not been as impressed with my progress since going to the wound clinic and was wondering if their way of applying the sponge (forcing the excess in) is not ideal. The wound is a little less than half of its original size after 3 weeks.