Monday, May 21, 2012

Maggots' growing medical role in wound treatments

Published in South Wales Evening Post

YOU would not associate them with cleanliness or treatment but maggots are playing an important role at one of Swansea's major hospitals.
Due to the amount of infections now becoming resistant to antibiotics, maggots are being increasingly used to treat wounds at Morriston Hospital.
The treatment involves placing a pouch filled with maggots over a wound, wrapping it in protective gauze and bandaging the area, allowing the little creatures to clean the wound by eating away all the damaged tissue.
Rosalyn Thomas, deputy head of Podiatry at Morriston Hospital, who uses maggots to treat wounds, said: "Patients are always shocked when I ask them to consider maggot therapy instead of surgery, but they soon come round to the idea.
"These tiny blind legless creatures eat nothing but the dead flesh from around the wound and leave the healthy flesh alone."
Ms Thomas added the use of maggots was also a cost-effective way to treat wounds.
She sad: "This is a really cheap, cost effective way to treat patients.
"Before this treatment we would take the patient into surgery and cut away the dead flesh, but to ensure we had all the infected area, we may cut away some healthy flesh too.
"The maggots are very precise and only eat away the dead tissue.
"With surgery patients would stay in hospital to recover, but with maggot therapy they are in and out within the hour, patients can go home and carry on as normal."
After the initial treatment is carried out patients return to the hospital a few days later and have the maggot pouch removed.
The wound is then cleaned and redressed before being left to heal naturally.
One of the patients currently being treated with the maggot therapy at the hospital also gave their seal of approval.
They said: "It's strange when they are first placed on the wound, you can feel some sensation, but not much.
"I think it's marvellous that I don't have to have surgery.
"The maggots are little miracle workers."
The treatment has been used at Morriston Hospital for the past 10 years.
Previously, maggots had been used in medical treatment for centuries before falling out of fashion thanks to the advent of antibiotics.

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Dr. Anthony Ricciardi at the Foot, Ankle & Lower Leg Center has completed training in endoscopic/minimally invasive surgery for chronic heel pain and nerve pain, foot and ankle joint replacement for restoring pain free motion, arthroscopic surgery, bunion surgery, fracture repair, flat foot correction, external fixation for complex deformities and extensive experience in peripheral nerve surgery including diabetic peripheral neuropathy and reconstructive surgery of previously failed foot surgical procedures.  In addition to his surgical training Dr. Ricciardi focuses on sports medicine of the foot and ankle through regenerative techniques using the patient’s own blood/platelets for healing chronic foot and ankle problems (pain) as a result of repetitive sport injuries.  This cutting edge technology enables patients to continue training with little or no down time.  Dr. Ricciardi continues to be active in teaching and training other podiatric surgeons on innovative surgical techniques in foot surgery.  Dr. Ricciardi is Board Certified by the American Board of Podiatric Surgery, a Fellow of the American College of Foot and Ankle Surgeons and Fellow of the Association of Extremity Nerve Surgeons.  Dr. Ricciardi’s vision is to bring each patient the most current State of the Art Technology and personalized treatment options to meet their Foot and Ankle needs (from conservative care to surgical options).  Dr. Ricciardi believes in quality service and puts his patients first!

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