Uğur USLU, Onur CEYLAN, Abdullah KÜÇÜKYAĞLIOĞLU, Hüseyin Koray AKDENİZ

Maggot Debridman Tedavi İle Bir Kedinin Post-operatif Enfekte Yarasının Sağaltımı

Eskiden tedavi amacıyla kullanılan maggot debridman tedavi (MDT) yeniden gündeme gelmiş ve insanlarda yara iyileşmesini teşvik etmek amacıyla kullanılmaya başlanmıştır. Ancak, bu yöntemin veteriner hekimlik alanında kullanımı sınırlıdır. Bu vaka sunumu, 3 yaşındaki erkek bir kedinin abdominal ve inguinal bölgelerini kapsayan, iyileşmeyen postoperatif enfekte bir yarada MDT’nin etkinliğini değerlendirmek amacıyla hazırlandı. MDT için ilk uygulama laparotomiden sonraki 10. günde yapıldı. Bu amaçla Lucilia sericata türü sineklerin steril birinci ve ikinci dönem larvaları kullanıldı. MDT sürecinde toplam beş adet larva uygulaması yapıldı. İlk MDT uygulamasından son MDT uygulamasına kadar, büyük ve enfekte olmuş yara yavaş yavaş küçülerek iyileşti. Steril L. sericata larvaları ile bir kedinin antibiyotiklere yanıt vermeyen kronik ve enfekte yarası başarılı bir şekilde sağaltıldı. Gelecekte etkili, uygun maliyetli ve basit yara bakımı sağlaması nedeniyle kronik, nekrotik ve enfekte yaralarda iyileşmeyi teşvik etmek amacıyla MDT kullanımının artacağı düşünülmektedir.

Treatment of a Post-Operative Infected Wound of a Cat with Maggot Debridement Therapy

Maggot debridement therapy (MDT), which is an ancient remedy, has been reintroduced and commonly used to promote wound healing in humans. However, its use in the veterinary field has still remained limited. The aim of this case study was to evaluate the effectiveness of MDT on a non-healing post-operative infected wound covering the abdominal and inguinal regions of a 3-year-old male cat. For MDT, sterile first and second stage larvae of Lucilia sericata were applied to the infected wound for the first time on the 10th day after laparotomy. A total of five larva applications were performed during the MDT process. From the first to the last MDT application, the large and infected wound gradually shrank and healed. Sterile L. sericata larvae were successfully used in the treatment of a chronic and infected wound that did not respond to antibiotics in a cat in this case study. It is considered that the use of MDT for promoting healing in chronic necrotic and infected wounds will increase because of supplying effective, cost-efficient and simple wound care in future.

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