Biochirurgie in der Behandlung chronischer Wunden

Zusammenfassung

Chronische Wunden stellen eine Herausforderung für das heutige Gesundheitswesen dar. Ein Grundprinzip der Behandlung ist das Debridement zur Entfernung devitalen Gewebes zur Verhinderung von Wundinfektionen und zur Heilungsförderung. Die Biochirurgie (syn. Maden- oder Larventherapie) stellt eine aussichtsreiche Ergänzung zum Spektrum der bekannten chirurgischen und topischen konservativen Behandlungsmaßnahmen dar. Die vorliegende Arbeit gibt einen kurzen Überblick zur Geschichte, Entomologie, Biochemie und medizinischen Indikationen der Biochirurgie und des praktischen Einsatzes der Larven.

Biosurgery for the Treatment of Chronic Lesions

Chronic wounds are a challenge of modern health care. A basic principle of treatment is the debridement to remove devitalized tissue to prevent wound infection and support healing. Biosurgery (syn. maggot or larval therapy) is a promising adjunct to the whole spectrum of surgical and topical treatment methods. The present paper gives a brief review on history, entomology, biochemistry and medical indications of biosurgery and the practical handling of maggots.

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