Which option best describes the definition of excessive granulation tissue in adults?

• A. Keep the area dry
• B. Keep the area moist
• C. Apply occlusive dressing immediately
• D. Do nothing to the site

Answer: (A)

Excessive granulation tissue, often called exuberant or proud flesh, happens when the wound environment is too moist, prompting the granulation tissue to grow beyond the wound margins and block epithelial migration. The way to counter this is to reduce moisture at the wound bed. Keeping the area dry limits the stimulus for new granulation tissue and helps the wound move toward re‑epithelialization. Moist environments or occlusive dressings would promote more granulation tissue, while doing nothing wouldn’t address the issue.