How do I clean the skin around a wound without damaging it?

Gently dab or wipe the surrounding skin with gauze soaked in saline or mild soapy water, removing drainage and dried blood, then pat it dry. Keep that skin dry, because healthy tissue that gets too wet softens and the wound can get bigger.

The skin around a wound needs its own care, separate from the wound itself. The advice pulls in two directions that are worth holding together: keep it clean, and keep it dry.

Cleaning it. With an open surgical wound, you may use a gauze pad or soft cloth to clean the skin around your wound. Soak the gauze or cloth in a normal saline solution or mild soapy water, and gently dab or wipe the skin with it. Try to remove all drainage and any dried blood or other matter that may have built up on the skin.

Dabbing and wiping, not scrubbing. With a closed surgical wound, do not rub or scrub the wound. Drying is the same. Gently pat dry the area around the wound with a clean towel, and do not rub it dry.

Keeping it dry, and why. With both venous and ischemic leg ulcers, keep the dressing and the skin around it dry. Try not to get healthy tissue around the wound too wet, because this can soften the healthy tissue, causing the wound to get bigger. Softened skin around a wound is not a cosmetic problem; it is how a wound enlarges.

Keeping it in good condition. With a venous ulcer, protect the skin around the wound by keeping it clean and moisturized. With pressure sores, caring for healthy skin by keeping it clean and moisturized is one of the ways to avoid further injury. If you have diabetes, use lotion, petroleum jelly, lanolin, or oil on dry skin on your feet, with one exception: do not put lotion, oil, or cream between your toes unless instructed to do so by your provider.

And what not to put near it. Do not put any lotion, cream, or herbal remedies on or around your wound unless your provider has said it is OK, and do not use lotions, powders, cosmetics, or any other skin care products on the wound itself.

Put together: clean the surrounding skin gently, dry it properly, moisturize healthy skin away from the wound, and keep moisture off the skin the dressing sits on.

What to watch for

Keep the dressing and the skin around it dry. Healthy tissue that gets too wet can soften, causing the wound to get bigger. Skin around a wound that looks white and soft is a reason to have the dressing routine reviewed.

Don’t rub or scrub, and don’t rub the skin dry.

Don’t put lotion, cream, or herbal remedies on or around the wound unless your provider has said it is OK. Moisturizing healthy skin and putting something near the wound are different decisions.

On the feet: do not put lotion, oil, or cream between your toes unless instructed to do so by your provider.

Wound Wizard is general education and can’t assess your skin. Your own clinician is the right person to ask.

What we look at

  • Examining the skin around the wound
  • Judging whether the surrounding skin is being damaged by moisture
  • Advising what to clean and moisturise with
  • Changing the dressing or its frequency if needed

Sources

  1. Surgical wound care - open — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000040.htm
  2. Venous ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000744.htm
  3. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm
  4. Diabetes - taking care of your feet — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000081.htm