Greenbottle Tissue: A Case Study
An 80-year-old gentleman was admitted to hospital with bilateral lower limb mixed-aetiology ulcers and superadded cellulitis, unresponsive to weeks of oral antibiotic therapy. He was an ex-smoker with past medical history of hypertension, atrial fibrillation, and previous cerebrovascular event. Initial examination of the right leg, affected worse, is seen in [Figure 1] Further investigations revealed white cell count of 29.5 and growth of β-haemolytic Group C streptococcus; intravenous flucloxacillin and benzylpenicillin were immediately commenced. He underwent surgical debridement with unsatisfactory outcome [Figure 2] He was commenced on biological debridement therapy using contained maggot therapy. The improvement was dramatic and was
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They can be applied free-range or contained. Although there is limited evidence on its use, studies have found the therapy to be safer, quicker and more effective than other debridement methods. It has lower amputation rates, and faster time for complete debridement compared to conventional therapies including hydrogels and/or surgery.1, 2. One study found it to be cheaper, secondary to shorter hospital stays and faster wound healing leading to estimated savings of £50 …show more content…
3- Biological debridement maggot therapy should be considered as an essential part of ulcer care management
REFERENCES Vancouver style (max 3)
1. Maggot Debridement: An alternative method for Debridement. Gottrup F, Jorgensen B. Open access Journal of Plastic Surgery. Eplasty. 2011 Jul; 11: e33.
2. The cost of managing chronic wounds in the U.K., with emphasis on maggot debridement therapy. Thomas S. J Wound Care. 2006 Nov; 15(10):465-9
3. The cost effectiveness of larval therapy in venous ulcers. Wayman J, Nirojogi V, Walker A, Sowinski A, Walker MA. J Tissue Viability. 2000 Jul; 10(3):91-4.
FIGURE/VIDEO CAPTIONS figures should NOT be embedded in this document
Figure 1: The Initial examination of the right leg on admission reveals mixed (venous and arterial) extensive necrotic ulceration with superadded cellulitis.
Figure 2: Right leg post-surgical debridement therapy
Figure 3: Image showing the extent of wound healing, taken after 3 days of biological debridement therapy.
Figure 4: Image showing the extent of wound healing prior to discharge.
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They can be applied free-range or contained. Although there is limited evidence on its use, studies have found the therapy to be safer, quicker and more effective than other debridement methods. It has lower amputation rates, and faster time for complete debridement compared to conventional therapies including hydrogels and/or surgery.1, 2. One study found it to be cheaper, secondary to shorter hospital stays and faster wound healing leading to estimated savings of £50 …show more content…
3- Biological debridement maggot therapy should be considered as an essential part of ulcer care management
REFERENCES Vancouver style (max 3)
1. Maggot Debridement: An alternative method for Debridement. Gottrup F, Jorgensen B. Open access Journal of Plastic Surgery. Eplasty. 2011 Jul; 11: e33.
2. The cost of managing chronic wounds in the U.K., with emphasis on maggot debridement therapy. Thomas S. J Wound Care. 2006 Nov; 15(10):465-9
3. The cost effectiveness of larval therapy in venous ulcers. Wayman J, Nirojogi V, Walker A, Sowinski A, Walker MA. J Tissue Viability. 2000 Jul; 10(3):91-4.
FIGURE/VIDEO CAPTIONS figures should NOT be embedded in this document
Figure 1: The Initial examination of the right leg on admission reveals mixed (venous and arterial) extensive necrotic ulceration with superadded cellulitis.
Figure 2: Right leg post-surgical debridement therapy
Figure 3: Image showing the extent of wound healing, taken after 3 days of biological debridement therapy.
Figure 4: Image showing the extent of wound healing prior to discharge.
Copyright