Maggot debridement therapy for postsurgical wound infection in scoliosis: a case series in five patients

Spine
Jin-Ho HwangJong-Hoon Park

Abstract

Case series of 5 patients who developed resistant wound infection after scoliosis surgery. To present maggot debridement therapy (MDT) as an effective alternative to the conventional treatment in postsurgical infection in scoliosis. Numerous clinical reports have been published that describe outstanding effects of MDT, most notable on debridement, cleansing, disinfection, and healing of indolent wounds, many of which have previously failed to respond to conventional treatment. However, till date no reports have been found in the literature describing its use for the treatment of wound infection after scoliosis surgery, which has relatively longer and deeper wound. A total of 5 patients (2 females and 3 males) who developed wound infection after scoliosis correction surgery were included in this study. All were operated for neuromuscular scoliosis using posterior approach with pedicle screw fixation. All developed deep wound infection within 2 to 6 weeks of surgery, which was resistant to all kinds of conventional therapy. MDT applied in all using prepared commercially available maggot bags, and dressing was changed twice a week till wound shows signs of healing. After confirming negative culture, MDT was stopped and routine dre...Continue Reading

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Citations

May 18, 2016·Veterinary World·Vijayata ChoudharyJ J Hasnani
Dec 10, 2015·Prehospital and Disaster Medicine·Frank StadlerPeter Tatham
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Aug 4, 2021·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Fatma Kubra Tombulturk, Gonul Kanigur-Sultuybek

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