Wound care. Points of friction.

This article aims to identify optimum management strategies for hypergranulation of gastrostomy, tracheostomy and suprapubic catheter sites. It discusses the aetiology of hypergranulation and gives an overview of the available literature on existing treatments. It concludes that the optimum choice of management may be to tape the tube to the body to prevent friction and to use a polyurethane foam dressing with a high moisture vapour transmission rate.