Day 17: After just over two weeks of use, the ulcer showed signs of responding to the new dressing: exudate level began to increase as the slough began to debride, granulation tissue was also evident across the wound bed. In order to effectively manage the wound exudate, a layer of AQUACELTM ExtraTM dressing was applied over the primary dressing and it was secured with the AQUACELTM Foam dressing. Dressing changes continued at a frequency of three times per week.