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These include: Surgical wounds that are low risk for infection Pregnant or lactating women Patients who are sensitive or allergic to silver or metals Wounds being treated with an enzymatic debridement agent Wounds in which there are no signs and symptoms of infection present, whether localized or systemic Chronic wounds that are healing as expected In, on, or near sites that are being or have been treated with radiotherapy Small, acute wounds that are unlikely to become infected Wounds in which slough or necrotic tissue is present Wounds colonized with multiple organisms or biofilms Silver dressings can be very effective for wounds that are infected, or wounds harboring large numbers of bacteria that have stalled in the healing process

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The suture is then similarly inserted at the 9 oclock position relative to the graft, following steps (1) and (2)