Larval therapy--an effective method of ulcer debridement.
نویسندگان
چکیده
Since ancient times, larval therapy has been reputed to help wound healing. Its use has recently been rediscovered and it is now enjoying increasing interest in clinical practice, as well as in research. We have investigated the effects of larval therapy on wounds in an open study of 74 patients with necrotic or sloughy chronic ulcers of different aetiologies. We found larval therapy to effectively debride 86% of the necrotic ulcers, and a single application was clinically beneficial in two-thirds of the patients. Failure to debride was mostly attributable to larval death. No ulcer type was shown to be more suited to larval therapy than others; however, there was an excellent response in all 29 patients with diabetes. Larval therapy was also noted to reduce odour in 58% of the 31 foul-smelling ulcers of mixed aetiology. No serious side-effects were observed. One-quarter of the study group experienced less pain during treatment, while 41% felt no difference in pain, and, although 34% noted an increase in pain, most of these patients wanted to continue the treatment because of subjective and objective visual improvement in wound debridement. In conclusion, we found larval therapy to be effective for debriding ulcers, easy to use and well accepted by the patients.
منابع مشابه
Safety, effectiveness and economic aspects of maggot debridement therapy for wound healing
Background: Maggot therapy has recently attracted considerable attention as an emerging debridement technique for wound healing. This study aimed to review the safety, effectiveness and economic evaluations of Maggot Debridement Therapy for wound healing. Methods: To retrieve the relevant evidences, the Cochrane Library (until September 2014) was searched by appropriate ke...
متن کاملVenUS II: a randomised controlled trial of larval therapy in the management of leg ulcers.
OBJECTIVES To compare the clinical effectiveness and cost-effectiveness of larval therapy with a standard debridement technique (hydrogel). DESIGN A pragmatic, three-arm, randomised controlled trial with an economic evaluation. SETTING Community nursing services, community leg ulcer clinics and hospital outpatient leg ulcer clinics. A range of urban and rural settings. PARTICIPANTS Patien...
متن کاملSafety, effectiveness and economic aspects of maggot debridement therapy for wound healing
BACKGROUND Maggot therapy has recently attracted considerable attention as an emerging debridement technique for wound healing. This study aimed to review the safety, effectiveness and economic evaluations of Maggot Debridement Therapy for wound healing. METHODS To retrieve the relevant evidences, the Cochrane Library (until September 2014) was searched by appropriate keywords, using free tex...
متن کاملLarval therapy for leg ulcers (VenUS II): randomised controlled trial
OBJECTIVE To compare the clinical effectiveness of larval therapy with a standard debridement technique (hydrogel) for sloughy or necrotic leg ulcers. DESIGN Pragmatic, three armed randomised controlled trial. SETTING Community nurse led services, hospital wards, and hospital outpatient leg ulcer clinics in urban and rural settings, United Kingdom. PARTICIPANTS 267 patients with at least ...
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ورودعنوان ژورنال:
- Clinical and experimental dermatology
دوره 28 2 شماره
صفحات -
تاریخ انتشار 2003