Clinical indications for larval treatment include infected or necrotic wounds of all types. Candidates for the treatment generally have non‐acute external wounds for which one or more courses of alternative treatments have failed.
Larval debridement therapy (LDT), also known as ‘maggot therapy’ or ‘biosurgery’, involves the use of larvae of the greenbottle fly, which are introduced to a wound to remove necrotic, sloughy and/or infected tissue.
The basic principles for the management of a wound or laceration are: Haemostasis. Cleaning the wound . Analgesia. Skin closure. Dressing and follow-up advice.
Maggot therapy is a wound healing technique that has been long used to remove dead skin from wounds. As doctors and scientists continue to make new discoveries in wound healing, some rather unsavory treatment methods rear their unpleasant heads.
Maggot -associated pain occurs in less than 30% of patients, and most often after 48 hours of therapy , when the maggots are satiated, finished working, and trying to escape. Thus, the pain is generally predictable and treatable. Those patients with pre-existing wound pain should be warned and given access to analgesics.
A maggot is a larva of the common fly. Maggots have soft bodies and no legs, so they look a bit like worms . They usually have a reduced head that can retract into the body. Maggot commonly refers to larvae that live on rotting flesh or tissue debris of animal and plants.
In this therapy live, sterile maggots of green bottle fly, Lucilia (Phaenicia) sericata are used, as they prefernecrotic tissues over healthy for feeding. Since centuries, MDT is used in humanbeings to treat chronic wounds .
Maggot therapy is not only used on horses, but on small animals as well, with the same general purpose of debriding a wound. Maggot therapy is also used in human medicine, mostly for ulcers and non-healing traumatic or post-surgical wounds. The medical maggots are not as big in size as one might expect.
For 70 years, Maggot Therapy has been known as an effective way for debridement and treatment of ulcers. Medical larva secretes the solvent enzymes from themselves that can solve the necrotic tissue, disinfects the wound and accelerates the wound healing (4).
Wound Dressing Selection: Types and Usage Gauze Dressings. Gauze dressings are made of woven or non-woven materials and come in a wide variety of shapes and sizes. Transparent Films. Foams . Hydrocolloids . Alginates . Composites.
Keep these methods in mind to recover from your injury in record time: Get your rest. Recent research published in the Journal of Applied Psychology suggested that getting more sleep can help wounds heal faster . Eat your vegetables. Stay active. Don’t smoke. Keep the wound clean and dressed.
Wound healing can be delayed by factors local to the wound itself, including desiccation, infection or abnormal bacterial presence, maceration, necrosis, pressure, trauma , and edema.
Maggots , otherwise known as fly larvae, are, of course, famous for eating the flesh of dead animals, and in this they perform a vital, if unglamorous, cleansing function in nature. But also – less often – maggots can infest and feed on the flesh of live animals and humans , a phenomenon known as myiasis.
Both leeches and maggots were approved by the FDA in 2004 as a single- use medical device. Prior to being used , they are kept in safe, sterile containers. Following use , they are immediately disposed of as biohazardous waste.
Maggot therapy. Your doctor puts maggots from fly larvae (specially bred in a lab so they’re sterile) on your wound, where they eat dead and infected tissue without hurting healthy tissue. They also help fight infection and speed healing by releasing chemicals that kill bacteria.