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Title

CLINICAL APPLICATION OF MAGGOT THERAPY TO TREAT DIABETIC FOOT ULCER AND INFECTION. WHAT ARE CONTRAINDICATIONS?

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Abstract

 BACKGROUND: UNCONTROLLED DIABETES MELLITUS CAN LEAD TO COMPLICATED INFECTED FOOT ULCERS THAT HAVE ALL NEGATIVE FACTORS FOR HEALING. ALTHOUGH DEBRIDEMENT AND THEN PROPER COVERAGE IS A CLASSIC APPROACH, THESE ULCERS ARE ACCOUNTED CHALLENGING FOR A SURGEON BECAUSE OF ONGOING INFECTION AND POORLY VASCULARIZED TISSUES TO TRANSFER.THIS LED TO APPLICATION OF LESS INVASIVE APPROACH TO REDUCE THE SECONDARY SURGICAL INJURY BY MINIMAL DEBRIDEMENT AND IMPLICATION OF MODALITIES LIKE MAGGOT THERAPY, VACUUM ASSISTED CLOSURE, BIOLOGIC DRESSING AND OTHERS.

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