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The use of maggot debridement therapy in 41 equids.
Equine Vet J Suppl. 2012 DecEV

Abstract

REASONS FOR PERFORMING STUDY

Maggot debridement therapy is a long-established tool to promote wound healing.

OBJECTIVES

To describe and assess the results of this technique in equids with various lesions.

METHODS

Retrospective analysis performed on cases in which, depending on clinical case, type, size and location of the wound, maggots were applied either in direct or indirect contact with the wound.

RESULTS

Treated cases (n = 41) included horses with foot pathology (n = 9), laceration of the limbs (n = 15), other soft tissue abscesses or wounds (n = 6), fistulous withers (n = 5), other musculoskeletal infection (n = 2) and dehiscence of the linea alba (n = 4). In 5 cases, a second maggot application was necessary to reach the desired level of wound healing. In 38 cases a favourable outcome was reached in less than one week. In one individual with a sequestrum, healing was uneventful after its removal. In 2 other horses, squamous cell carcinoma and melanoma were involved in chronic infected wounds and complete healing was not achieved because of recurrence of underlying tumours. Some discomfort was recorded in 7 individuals between 24 and 72 h of treatment.

CONCLUSIONS

Maggot debridement therapy can be recommended in equids for debridement and enhanced healing and its potent antibacterial action. Maggot debridement therapy is not recommended on wounds invaded with a tumour and if bone sequestration is suspected.

POTENTIAL RELEVANCE

Maggot debridement therapy can be an integral part of modern wound care in equids.

Authors+Show Affiliations

Université de Lyon, Lyon, France. olivier.lepage@vetagro-sup.frNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23447891

Citation

Lepage, O M., et al. "The Use of Maggot Debridement Therapy in 41 Equids." Equine Veterinary Journal. Supplement, 2012, pp. 120-5.
Lepage OM, Doumbia A, Perron-Lepage MF, et al. The use of maggot debridement therapy in 41 equids. Equine Vet J Suppl. 2012.
Lepage, O. M., Doumbia, A., Perron-Lepage, M. F., & Gangl, M. (2012). The use of maggot debridement therapy in 41 equids. Equine Veterinary Journal. Supplement, (43), 120-5.
Lepage OM, et al. The Use of Maggot Debridement Therapy in 41 Equids. Equine Vet J Suppl. 2012;(43)120-5. PubMed PMID: 23447891.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of maggot debridement therapy in 41 equids. AU - Lepage,O M, AU - Doumbia,A, AU - Perron-Lepage,M F, AU - Gangl,M, PY - 2013/3/2/entrez PY - 2013/3/2/pubmed PY - 2013/3/27/medline SP - 120 EP - 5 JF - Equine veterinary journal. Supplement JO - Equine Vet J Suppl IS - 43 N2 - REASONS FOR PERFORMING STUDY: Maggot debridement therapy is a long-established tool to promote wound healing. OBJECTIVES: To describe and assess the results of this technique in equids with various lesions. METHODS: Retrospective analysis performed on cases in which, depending on clinical case, type, size and location of the wound, maggots were applied either in direct or indirect contact with the wound. RESULTS: Treated cases (n = 41) included horses with foot pathology (n = 9), laceration of the limbs (n = 15), other soft tissue abscesses or wounds (n = 6), fistulous withers (n = 5), other musculoskeletal infection (n = 2) and dehiscence of the linea alba (n = 4). In 5 cases, a second maggot application was necessary to reach the desired level of wound healing. In 38 cases a favourable outcome was reached in less than one week. In one individual with a sequestrum, healing was uneventful after its removal. In 2 other horses, squamous cell carcinoma and melanoma were involved in chronic infected wounds and complete healing was not achieved because of recurrence of underlying tumours. Some discomfort was recorded in 7 individuals between 24 and 72 h of treatment. CONCLUSIONS: Maggot debridement therapy can be recommended in equids for debridement and enhanced healing and its potent antibacterial action. Maggot debridement therapy is not recommended on wounds invaded with a tumour and if bone sequestration is suspected. POTENTIAL RELEVANCE: Maggot debridement therapy can be an integral part of modern wound care in equids. UR - https://www.unboundmedicine.com/medline/citation/23447891/The_use_of_maggot_debridement_therapy_in_41_equids_ L2 - https://doi.org/10.1111/j.2042-3306.2012.00609.x DB - PRIME DP - Unbound Medicine ER -