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Friday, July 10, 2009

Maggot Debridement Therapy

Everyone loves their foot. Regardless the foot/feet are good in playing football or not, the thing is no one willing to sell/lose their leg even for a million of dollar. Why? The answer is definitely already in your mind. There are no 'original' spare parts available in market.

There are some cases when you might lose your foot. The most famous reason is when your leg/foot committed to chronic wounds, complication from diabetic disease. When the wound becomes worst, the only solution to save your life is to lose your foot by amputation. Better lose foot rather than lose your life? Is it true?

However, if there is a chance for you to save your foot, you are so STUPID if you let doctors cut your leg. That's why we introduce Maggot Debridement Therapy (MDT), a biosurgical using sterile maggots/larvae to heal your wounds by debriding/cleansing the dead tissue or necrotic. This treatment is just appear to Malaysia, thanks a lot to distinguished scienties who did their best to produce sterile maggots using local species of fly, named Lucilia cuprina.

Maggot Debridement Therapy

Maggot Debridement Therapy (MDT) is the medical use of live maggots (fly larvae) for treating non-healing wounds.

In maggot debridement therapy, disinfected fly larvae are applied to the wound for 2 or 3 days within special dressings to keep them from migrating. The literature identifies three primary actions of medical grade maggots on wounds:

1) They clean the wounds by dissolving dead and infected tissue ("debridement");
2) They disinfect the wound (kill bacteria);
3) They speed the rate of healing.

MDT can be used for the treatment of pressure ulcers, burns, venous stasis ulcers, osteomyelitis, diabetic foot ulcers, MRSA infected wounds, debridement of infected surgical wounds and even chronic, non healing ulcers.

History of Maggot in Medicine

Maggot Debridement Therapy (MDT) or Maggot Therapy has been known for centuries. It was observed that wounds infestated with maggots (larvae) of certain flies tend to be more ‘sterile’ and healed faster. It was during 18th Century that military surgeons began to experiment with the use of maggots to treat wounded soldiers. The trend continued into the 1930’s, particularly in commercially for medical use.

With the advent of antibiotics and other “modern” treatment, maggot therapy was slowly phased out until recently. The development of bacterial resistance to antibiotics and the difficulty in treating various wounds have revived maggot therapy lately. However, in Malaysia and other countries in the region, no attempts were made to examine the use of local flies for such treatment.

In the past, only the green bottle fly, Lucilia sericata, a temperate species is used. This fly is not found in the tropics. Instead, a local species, Lucilia cuprina was tested and found to be extremely useful in clearing wounds. This is the first such record for this fly to clear the wounds.

Diabetic foot ulcer: before MDT (a), and after two (b), four (c) and eight (d) weeks of MDT

For more information, i kindly invite all of you to click this link

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