Experiencia de terapia larval en pacientes con úlceras crónicas

Figueroa, Luis; Uherek, Fernando; Yusef, Pedro; López, Liliana Castrezana; Flôres, Jordana de Araújo

doi:10.4067/s0717-77122006000200010

Cited by 11 publications

(6 citation statements)

References 11 publications

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“…The efficacy of MDT for debridement and infection control has been demonstrated repeatedly in a variety of clinical and medical settings around the world 13‐21,26,43,45‐49,52‐69 . Fournier's gangrene is a medical emergency with a high risk of death and disfigurement.…”

Section: Discussionmentioning

confidence: 99%

Clinical study of Maggot therapy for Fournier's gangrene

Fonseca‐Muñoz

Sarmiento‐Jiménez

Pérez‐Pacheco

et al. 2020

International Wound Journal

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Fournier's Gangrene is a fulminating necrotizing fasciitis of the perineum and genitalia. Standard treatment involves immediate excision of all necrotic tissue, aggressive antibiotic coverage, and supportive medical care. Still, the infection is commonly fatal or disfiguring. Wound treatment with disinfected blowfly larvae (maggot debridement therapy or MDT) has been shown to be highly effective, with multiple studies demonstrating effective debridement, disinfection, and promotion of granulation tissue. MDT also has been associated with preservation of viable tissue and minimised blood loss. This report describes a prospective clinical study of MDT for Fournier's gangrene aimed to test the hypothesis that early use of maggots could decrease the number of surgical treatments required to treat Fournier's gangrene. Subjects were provided with one initial surgical excision, followed by debridement using only medical grade Lucilia sericata larvae. Only two subjects were enrolled, both diabetic men. Intensive care and culture‐directed antimicrobial coverage were administered as usual. Maggot debridement was associated with the disappearance of necrotic tissue, control of infection and granulation tissue growth. In both subjects, wounds healed without requiring further surgical resection or anatomical reconstruction. Maggot therapy decreased the number of surgical procedures that otherwise would have been necessary, and led to favourable outcomes.

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Section: Discussionmentioning

confidence: 99%

Clinical study of Maggot therapy for Fournier's gangrene

Fonseca‐Muñoz

Sarmiento‐Jiménez

Pérez‐Pacheco

et al. 2020

International Wound Journal

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“…7 Of the seven selected articles, demonstrate that only two therapy larval does not contribute to the healing of injuries in proportions higher than those used in large scale treatment, however admit failures during the study. 4,6 It was felt, in reading the articles, that there was a considerable refusal by patients regarding the use of maggots to treat their injuries.…”

Section: A5mentioning

confidence: 99%

Unveiled the Larval Therapy as Alternative in the Treatment of Skin Lesions: An Integrative Review

Silva¹,

Marchiori²

2013

R. pesq.: cuid. fundam. Online

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Objective: to identify evidence in the literature in which the benefits of larval therapy provides patients with skin lesions through a systematic literature review in the form of an integrative review. Method: For search of articles and data analysis, we used two assessment tools. The survey was conducted between July 2009 and July 2010. Result: larval therapy was positive in most studies selected in relation to a rapid restoration of tissues such as the costs. Conclusion: the results presented have provided a better understanding of larval therapy and showed that, although there was no evidence of its use in Brazil, can be an effective option, especially when conventional treatments not working. Descriptors: Maggot, Flies, Wound Healing. RESUMO Objetivo: identificar nas evidências científicas da literatura quais os benefícios que a terapia larval proporciona aos pacientes com lesões de pele através de uma revisão sistemática da literatura, na modalidade de revisão integrativa. Método: para a busca dos artigos e a análise dos dados, foram utilizados dois instrumentos de avaliação. A pesquisa foi realizada entre julho de 2009 a julho de 2010. Resultado: a terapia larval mostrou-se positiva na maior parte dos estudos selecionados tanto em relação à restauração rápida dos tecidos como nos custos. Conclusão: os resultados apresentados proporcionaram um maior conhecimento sobre a terapia larval e mostraram que, apesar de não haver indícios de seu uso no Brasil, pode ser uma opção eficaz, principalmente quando os tratamentos convencionais não funcionam mais. Descritores: Larva, Moscas, Cicatrização de Feridas. RESUMEN Objetivo: identificar en evidencias en la literatura que los beneficios de la terapia con larvas a los pacientes con lesiones en la piel a través de una revisión sistemática de la literatura, en la forma de una revisión integradora. Método: Para la búsqueda de artículos y análisis de datos, se utilizaron dos instrumentos de evaluación. La encuesta fue realizada entre julio de 2009 a julio de 2010. Resultado: la terapia de larvas fue positiva en la mayoría de los estudios seleccionados en relación a una rápida restauración de los tejidos, tales como los costos. Conclusión: los resultados presentados proporcionan una mejor comprensión de la terapia larval y demostraron que, aunque no hay evidencia de su uso en Brasil, puede ser una opción eficaz, especialmente cuando los tratamientos convencionales han ya no funcionan. Descriptores: Larva, Moscas, La curación de heridas.

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“…y mosca de bronce de los borregos Lucilia cuprina (Fig. 2) (Stevens et al, 1997;Abou-Zied et al, 2003;Debry et al, 2010;Rueda et al, 2010), además de la especie no nativa de Califórido: Chrysomya albiceps (Pozzi, 1972;Chiappa et al, 1990;Peña, 1996;Mc Lean et al, 2006;Figueroa et. al., 2006;Ortloff-Trautmann et al, 2013;González et al, 2017) y otros polinizadores no identificados.…”

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Primeros Registros De Polinizadores Oportunistas De Santolina Chamaecyparissus Linneo 1753 (Asteraceae). Un Inusual Mutualismo Planta-Insecto en La Costa De Chile Central

Rueda¹

2022

JBNS

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Experiencia de terapia larval en pacientes con úlceras crónicas

Cited by 11 publications

References 11 publications

Clinical study of Maggot therapy for Fournier's gangrene

Clinical study of Maggot therapy for Fournier's gangrene

Unveiled the Larval Therapy as Alternative in the Treatment of Skin Lesions: An Integrative Review

Primeros Registros De Polinizadores Oportunistas De Santolina Chamaecyparissus Linneo 1753 (Asteraceae). Un Inusual Mutualismo Planta-Insecto en La Costa De Chile Central

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