title: Amputation-sparing treatment by nature: "surgical" maggots revisited.
abstract: Maggots were used as adjunct treatment for infected wounds that showed no response to the classical approach of wound debridement and antibiotic therapy. We summarize findings for 11 patients with necrotic wounds who received treatment with "surgical" maggots (100-2900 applied in 3-10 changes of dressing) for 11-34 days, which apparently aided in tissue remodeling and cure, and describe 2 typical patients in detail.
authors.affiliation: Section of Traumatology, Department of Surgery, Leiden University Medical Center, 2300 RC Leiden, The Netherlands. G.N.Jukema@lumc.nl
authors.forename: G N
authors.initials: GN
authors.lastname: Jukema
authors.forename: A G
authors.initials: AG
authors.lastname: Menon
authors.forename: A T
authors.initials: AT
authors.lastname: Bernards
authors.forename: P
authors.initials: P
authors.lastname: Steenvoorde
authors.forename: A
authors.initials: A
authors.lastname: Taheri Rastegar
authors.forename: J T
authors.initials: JT
authors.lastname: van Dissel
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement / Q000379:methods*; D005260:Female; D005734:Gangrene / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D007814:Larva; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents