Aleksandra Żyjewska-Złotowska RN, MSc, Gdynia, Poland Elżbieta Buszko-Sikora MD, Bydgoszcz, Poland

1. THE SUCCESS OF RAPID
DEBRIDEMENT BY
LARVAL THERAPY
(a case report)
Aleksandra Żyjewska-Złotowska RN, MSc, Gdynia, Poland
(olazyjewska@gmail.com)
Elżbieta Buszko-Sikora MD, Bydgoszcz, Poland

2. Case report
Aim: This case demonstrate the effectiveness of debridement
by larval therapy in the healing of a sloughy venous leg
ulcer.
Methods: The 66-year-old patient was first assessed for larval
therapy on February 16, 2012, with a venous leg ulcers on
his left leg, and vast surface was macerated. His wound
appeared on December 2010. Sterile and free-range Lucilia
sericata were applied twice. Maggots were applied in
maximum quantity ten for every 1cm2, and left for 4 days
each time. Everyday on the external part of the dressing
was changed. After second time 80% of ulcer were clean
from necrotic tissue. Between maggot therapy and after, his
wound was dressed with hydrocolloid pads. Compression
therapy and regular mechanical cleaning was also
implemented. Skin around ulcer was protected with liquid
paraffin.

3. Results: Photographic documentation revealing different stages in
the reduction of the wound. Furthermore, there was observed
ensuant reduction of pain in one month, during dressing changes
Before Maggot Therapy
After 4 days taking off
maggots
Venous ulcer leg
cleaned by maggots

4. Wound in July, regular mechanical cleaning was implemented every 4 days.
Wound in November.After 8 moths and 3 weeks wound healed.

5. Conclusions
Maggots can efficiently debride necrotic
wound tissue and promote healing.
However treatment did not lead to healing.
Maggot debridment therapy may be
implemented safely also in hospitals
outpatients departments or in others
ambulatory patient.