Some illustrative embodiments of a dressing for treating a tissue site may include a manifold, a paddle, and a tail. The manifold may be adapted to distribute fluid and may include an insertion end and a connection end. The insertion end of the manifold may be adapted for insertion at the tissue site. The paddle may include at least one surface protrusion, and the paddle may be positioned in fluid communication with the manifold proximate to the insertion end. The tail may be proximate to the connection end of the manifold. Further, the tail may be adapted to be positioned proximate an external opening at the tissue site. Other dressings, systems, and methods are disclosed.