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Equine veterinary journal. Supplement2013; (43); 120-125; doi: 10.1111/j.2042-3306.2012.00609.x

The use of maggot debridement therapy in 41 equids.

Abstract: Maggot debridement therapy is a long-established tool to promote wound healing. Objective: 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. Conclusions: Maggot debridement therapy can be an integral part of modern wound care in equids.
Publication Date: 2013-03-02 PubMed ID: 23447891DOI: 10.1111/j.2042-3306.2012.00609.xGoogle Scholar: Lookup
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  • Journal Article

Summary

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The research article looks at the effectiveness of maggot debridement therapy in treating various types of wounds in equids, like horses. 41 cases were analyzed retrospectively, with positive results from this therapy observed in a majority of the treated instances.

Research Methods

  • The study is a retrospective analysis of various cases where maggots were used to promote wound healing in equids. The cases chosen depended on various factors like case type, size and location of the wound, and whether direct or indirect contact of maggots with the wound was made.

Results

  • A total of forty-one equids were treated using maggot therapy. The categories of wounds treated included foot pathologies, lacerations of the limbs, other soft tissue abscesses or wounds, fistulous withers, musculoskeletal infections, and dehiscence of the linea alba.
  • In five of the cases, a second application of maggots was necessary to achieve the desired level of wound healing.
  • In most cases (38 out of 41), a favourable outcome was reached in less than one week. There was one specific case involving a sequestrum (a piece of dead bone) where healing was straightforward once the sequestrum was removed.
  • In two cases where the wounds were infected with squamous cell carcinoma and melanoma, complete healing was not achieved due to the recurrence of the underlying tumours.
  • Some level of discomfort was recorded in 7 of the treated individuals after 24 to 72 hours of maggot treatment.

Conclusions

  • Maggot debridement therapy was recommended as an effective method for debridement, enhanced healing, and antibacterial action in equids.
  • However, the therapy is not advised for wounds invaded with a tumor or if bone sequestration is suspected.
  • The research strongly indicated that maggot debridement therapy can be a vital part of modern wound care in equids.

Cite This Article

APA
Lepage OM, Doumbia A, Perron-Lepage MF, Gangl M. (2013). The use of maggot debridement therapy in 41 equids. Equine Vet J Suppl(43), 120-125. https://doi.org/10.1111/j.2042-3306.2012.00609.x

Publication

NlmUniqueID: 9614088
Country: United States
Language: English
Issue: 43
Pages: 120-125

Researcher Affiliations

Lepage, O M
  • Université de Lyon, Lyon, France. olivier.lepage@vetagro-sup.fr
Doumbia, A
    Perron-Lepage, M F
      Gangl, M

        MeSH Terms

        • Animals
        • Debridement / methods
        • Debridement / veterinary
        • Diptera
        • Horse Diseases / therapy
        • Horses
        • Larva
        • Retrospective Studies
        • Wound Healing / physiology
        • Wounds and Injuries / therapy
        • Wounds and Injuries / veterinary