Author/Authors :
TANYÜKSEL, Mehmet Gülhane Askeri Tıp Fakültesi - Yüksek Bilim Konseyi, Turkey , KORU, Özgür Gülhane Askeri Tıp Fakültesi - Tıbbi Parazitoloji Bilim Dalı, Turkey , ARAZ, Remzi Engin Gülhane Askeri Tıp Fakültesi - Tıbbi Parazitoloji Bilim Dalı, Turkey , KILBAŞ, Hatice Zeynep Güçlü Gülhane Askeri Tıp Fakültesi - Tıbbi Parazitoloji Bilim Dalı, Turkey , YILDIZ, Şenol Gülhane Askeri Tıp Fakültesi - Sualtı Hekimliği ve Hiperbarik Anabilim Dalı, Turkey , ALACA, Rıdvan Gülhane Askeri Tıp Fakültesi - Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Turkey , AY, Hakan Gülhane Askeri Tıp Fakültesi - Haydarpaşa Eğitim Hastanesi - Sualtı Hekimliği ve Hiperbarik Servisi, Türkiye , ŞİMŞEK, Kemal Gülhane Askeri Tıp Fakültesi (GATF) - Sualtı Hekimliği ve Hiperbarik Anabilim Dalı, Turkey , YILDIZ, Cemil Gülhane Askeri Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , YURTTAŞ, Yüksel Gülhane Askeri Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , DEMİRALP, Bahtiyar Medipol Üniversitesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , DEVECİ, Mustafa , BEŞİRBELLİOĞLU, Bülent A. Gülhane Askeri Tıp Fakültesi - Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Turkey
Abstract :
The objective of this study was to assess the efficacy of maggot therapy and to develop decontained maggot designs for the best use and effect. In this study, we could maintenance of Lucilia sericata colony and sterile maggots in the insectariums. Contained maggot designs would be developed for the best use and effect for maggot therapy. We have enrolled 25 patients with non-healing chronic wounds (23 diabetic foot wounds, 2 ischemic foot wounds,) various wound size (mean 11,9±11,8 cm2). The clinical state of the wounds documented before and after maggot therapy. Gram-positive cocci and Gram-negative bacilli were the most frequently isolated from patients with chronic wounds in pretreatment. Along with packet that contains the sterile larvae of the second stage (average mean number of applications 3,6±1,6 packet; average mean 16,2±8,6 days) hyperbaric oxygen (HBO) was applied to patients. As a result of treatment of 19 patients (76%) provided a complete wound debridement, on the other hand, a partial debridement was occurred in six patients (24%). As a result, application of maggot therapy as a package in the treatment of patients with chronic wounds is practical and effective.
