Maden: Ein neues Konzept in der Behandlung ;von Infektionen in der Traumatologie - „Back to the Future!”

G. N. Jukema; P. Steenvoorde; C. Y. Wong; A. T. Bernards; J. T. van Dissel

doi:10.1055/s-2006-921510

Zentralblatt für Chirurgie, Table of Contents

Zentralbl Chir 2006; 131: 75-78
DOI: 10.1055/s-2006-921510

Originalarbeit

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!”G. N. Jukema¹ , P. Steenvoorde¹ , C. Y. Wong¹ , A. T. Bernards² , J. T. van Dissel³

¹Department of Surgery, Section of Traumatology, Leiden University Medical Center, The Netherlands
²Department of Medical Microbiology, Leiden University Medical Center, The Netherlands
³Department of Infectious Diseases, Leiden University Medical Center, The Netherlands

Abstract

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

Full Text

References

Literatur

1 Goldstein H I. Maggots in the treatment of wound and bone infections. J Bone Joint Surg [Am]. 1931; 13 476-478
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
8 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