Home Bratislava Medical Journal 2015 Bratislava Medical Journal Vol.116, No.11, p.671–673, 2015

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345
 

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Bratislava Medical Journal Vol.116, No.11, p.671–673, 2015

Title: Maggot therapy in treatment of a complex hand injury complicated by mycotic infection
Author: M. Bohac, M. Cambal, R. Zamborsky, P. Takac, J. Fedeles Sr

Abstract: Complex injuries of the hand remain a therapeutic challenge for surgeons. We present the case of a male who suffered a devastating injury of the hand caused by a conveyor belt. The patient developed a progressive Absidia corymbifera infection of the affected soft tissues. Initial treatments with serial surgical debridement and topical and intravenous itraconazole were unsuccessful in eliminating the infection. We decided to use maggot debridement therapy in a new special design to debride all necrotic, devitalized tissue and preserve only healthy tissue and functioning structures. This maneuverer followed by negative pressure therapy allowed progressive healing. In such complex hand injuries, maggot debridement combined with negative pressure therapy could be considered to achieve effective and considerable results, although future functional morbidity may occur (Fig. 4, Ref. 18).

Keywords: maggot debridement therapy, negative pressure therapy, complex hand injuries, mycotic infection.
Published online: 25-Nov-2015
Year: 2015, Volume: 116, Issue: 11 Page From: 671, Page To: 673
doi:10.4149/BLL_2015_128


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