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AMPUTEE WOUND CARE LOUISE WEBBER AMPUTEE & REHAB CNC SSWAHS.

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Presentation on theme: "AMPUTEE WOUND CARE LOUISE WEBBER AMPUTEE & REHAB CNC SSWAHS."— Presentation transcript:

1 AMPUTEE WOUND CARE LOUISE WEBBER AMPUTEE & REHAB CNC SSWAHS

2 AIMS OF POST-OP WOUND CARE WOUND HEALING WITHOUT COMPLICATION WOUND HEALING WITHOUT COMPLICATION POTENTIAL COMPLICATIONS: WOUND BREAKDOWN WOUND BREAKDOWN DEHISCENCE DEHISCENCE INFECTION INFECTION

3 WOUND MANAGEMENT NEED TO CLEAN THE WOUND BED – DEBRIDE NECROTIC TISSUE NEED TO CLEAN THE WOUND BED – DEBRIDE NECROTIC TISSUE DECREASE THE BACTERIAL BURDEN OF THE WOUND DECREASE THE BACTERIAL BURDEN OF THE WOUND

4 METHODS OF WOUND DEBRIDEMENT SURGICAL DEBRIDEMENT SURGICAL DEBRIDEMENT AUTOLYTIC DEBRIDEMENT AUTOLYTIC DEBRIDEMENT Advanced wound care products Advanced wound care products BIOLOGICAL DEBRIDEMENT BIOLOGICAL DEBRIDEMENT Maggot Debridement Therapy

5 Which fly? Maggots used are from the fly Lucilia sericata

6 Life Cycle of the Fly Fly Egg Maggot Pupa Fly

7 How do they work? Contrary to popular belief maggots do not have teeth, so they cannot bite or chew away dead tissue ( this is also why they cannot be felt in a wound) Contrary to popular belief maggots do not have teeth, so they cannot bite or chew away dead tissue ( this is also why they cannot be felt in a wound)

8 How do they eat? They feed by extra-corporeal digestion, secreting collagenases, trypsin-like, & chymotrypsin-like They feed by extra-corporeal digestion, secreting collagenases, trypsin-like, & chymotrypsin-like enzymes that break down necrotic tissue into a semi-liquid form that the maggots can ingest. enzymes that break down necrotic tissue into a semi-liquid form that the maggots can ingest. These enzymes are only effective on devitalised tissue

9 Problems with maggot therapy Potential yuk factor Potential yuk factor Run-away dressing Run-away dressing Short shelf life Short shelf life

10 Perceived advantages of maggot therapy Rapid wound debridement Rapid wound debridement Reduction in odour Reduction in odour Control of infection Control of infection Maggots take their oxygen from the air Maggots take their oxygen from the air Stimulation of granulation tissue Stimulation of granulation tissue Highly cost effective Highly cost effective

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29 6 weeks post –op 22/01/10

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31 12/02/10 Pre MDT

32 15/02/10 Post 1 st Application

33 19/02/10 Post 2 nd application

34 23/02/10 VAC Applied 26/02/10 After 3 days VAC

35 03/03/10 17/03/10

36 QUESTIONS?????

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