Medical Maggot are indicated for debriding non-healing necrotic skin and soft tissue wounds, including pressure ulcers, venous stasis ulcers, neuropathic foot ulcers and non-healing traumatic or post surgical wounds
There are indications that may influence the bacterial burden within the wound and may be considered as a method of debridement in a necrotic or infected wound. There are potential advantages and disadvantages of larval therapy.
Advantages of larval therapy are:
Rapid and selective debridement
Reduced bacterial burden
Possible control of MRSA
Possible micromassage effect stimulating healing
Possible chemical stimulation to healing
No report toxicity or allergenicity
Disadvantages of larval therapy are:
Slower than sharp or surgical debridement
Not suitable for all wounds
Effectiveness limited by environment (wound pH, fluid and oxygen)
Aesthetic aspects for patients and staff
Some other examples of biotherapy are use of medicinal maggots to debride (clean) wounds, medicinal leeches to treat venous congestion and ichthyotherapy (fish therapy) to treat exfoliative skin conditions.