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DOI: 10.1055/s-2006-921510
© Georg Thieme Verlag Stuttgart · New York
Maden: Ein neues Konzept in der Behandlung ;von Infektionen in der Traumatologie - „Back to the Future!”
Maggot Therapy for Treatment of Severe Infections in Trauma Surgery: “Back to the Future!”Publication History
Publication Date:
30 March 2006 (online)
Zusammenfassung
Die „alte” Therapie mit Larven der Lucilia sericata hat in neuer Form mit Verwendung eines Biobags (Vitapad®) einen neuen Stellenwert in der Behandlung van akuten und chronischen Infektionen in der Chirurgie und der Unfallchirurgie bekommen. Mithilfe dieser Therapie können Infektionen bei Traumapatienten erfolgreich, mit gleichzeitiger Verkürzung der gesamten Behandlungsdauer und Verringerung der Invalidität behandelt werden.
Abstract
The ancient method of larval therapy for treatment of acute and chronic infections has become a revival and a new dimension with introduction of the Biobag (Vitapad®). With use of this therapy trauma patients suffering infectious complications can be treated very effective, which can reduce the overall time needed for treatment and can result in diminished invalidity.
Schlüsselwörter
Madentherapie - Osteomyelitis - Infektion - Traumatologie
Key words
maggot debridement therapy - infection - osteomyelitis - trauma surgery
Literatur
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- 2 Bear W S. The Treatment of chronic osteomyelitis with the maggot (Larva of the blow Fly). J Bone Joint Surg [Am]. 1931; 13 438-475
- 3 McLellan N W. The Maggot treatment of osteomyelitis. Canadian Medical Association Journal. 1932; 27 256-260
- 4 Fleischmann W, Russ M K, Moch D. Chirurgische Wundbehandlung. Chirurg. 1998; 69 222-232
- 5 Grassberger M, Fleischmann W. The biobag - a new device for the application of medicinal maggots. Dermatology. 2002; 204 306
- 6 Jukema G N, Menon A G, Bernards A T, Steenvoorde P, Rastegar A T, Dissel J T van. Amputation-sparing treatment by nature: “Surgical” maggots revisited. Clin Infect Dis. 2002; 35 1566-1571
- 7 Wayman J, Nirojogi V, Walker A, Sowinski A, Walker M A. The cost effectiveness of larvae therapy in venous ulcers. J Tissue Viabil. 2000; 10 91-94
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www.fda.gov/ohrms/dockets/ac/05/briefing/2005-4168b1_Classification%20Memo.pdf - 08-24-2005
Dr. med. G. N. Jukema
MD, PhD
Department of Surgery · K6-R · Leiden University Medical Center
P.O. Box 96 00
2300 RC Leiden
The Netherlands
Phone: +31/71/5 26 36 10
Fax: +31/71/5 26 67 50
Email: G.N.Jukema@lumc.nl