MAGGOT DEBRIDEMENT: AN ALTERNATIVE METHOD FOR DEBRIDEMENT FOR CHRONIC ULCERS

Dr. Bharat Kumar Suthar; Kumar Gautam; Dr.Ashish Pareek

Volume : IV, Issue : IX, September - 2015

MAGGOT DEBRIDEMENT: AN ALTERNATIVE METHOD FOR DEBRIDEMENT FOR CHRONIC ULCERS

Dr. Bharat Kumar Suthar, Kumar Gautam, Dr. Ashish Pareek

Abstract :

<p>&lt;p&gt;A chronic wound that does not heal in an orderly set of stages and in a predictable amount of time the way most wounds do. These wounds cause patients severe emotional and physical stress and create a significant financial burden on patients and the whole healthcare system. The mechanism of such maggot therapy was shown to be due to the deidement, disinfection, and wound healing enhancement actions of maggot secretions. The efficacy of MDT in chronic wound management has been demonstrated in chronic venous ulcers, pressure ulcers, and diabetic ulcers. MDT has been described in Sushruta samhita in context of ulcerated growths (arbuda chikitsa) for the wound deidement in chikitsa sthana 18. Their use declined with the advent of antibiotics. MDT is more selective than surgical deidement, decreases time to healing and stay of patients in the ward, and may decrease the risk of major amputations. However, the evidence of these effects of MDT on the highest level is presently lacking.&lt;/p&gt;</p>