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As Moss and La Puma91 state, "to hide ugly aesthetics and to unknowingly deny the conditions that contribute to pressure ulcer development, our clinical response may be to cover up or remove the sore, using dressings, skin grafts, myocutaneous flaps, disarticulations, amputations, and hemicorporectomies."
Increased fragility of skin graft Increase in exudate volume Increase in local skin
Reports of industry-conducted in vitro studies demonstrate that different silver-containing dressings release different amounts of silver over time.137a There are preliminary indications that the toxic dosage of silver differs depending on whether the fibroblasts and epithelial cells are in a mono- layer or in a three-dimensional matrix.142 The potential adverse consequences in epi- thelializing wounds was demonstrated in a controlled study of matched pair skin graft donor sites treated with a non-antimicrobial foam dressing or a nanocrystalline silver dressing.
Multiple skin grafts have failed.
They are extremely beneficial in managing large draining cavity wounds, pressure ulcers, vascular ulcers, sur- gical incisions, wound dehiscence, tunnels, sinus tracts, skin graft donor sites, exposed
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