We optimize the wound bed, and we should: but without periwound stability, edge advancement is fragile.
Periwound integrity can influence:
Edge migration (keratinocyte function)
Contact dermatitis vs “allergy” confusion
Dressing tolerance and frequency of changes
Pain, itching, and patient dropout
Critical thinking:
Don’t just ask ”Is the wound smaller?”, ask:
Is the periwound dry, intact, and comfortable?
Are adhesives/cleansers causing iatrogenic damage?
Are we preventing maceration with the same discipline as infection control?
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