Compression may be key

doi:10.1136/bmj.b2064

Published 27 May 2009, doi:10.1136/bmj.b2064
Cite this as: BMJ 2009;338:b2064

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Larval therapy for leg ulcers

Compression may be key

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Although larval therapy cleared leg ulcers in the study of Dumvilleand colleagues, it did not have any impact on the time to healing.¹In table 1 around 70% of patients in the hydrogel group receivedhigh compression—had a ankle brachial index >0.8—comparedwith around 50% in the larval groups. Compression is one ofthe cornerstones in treating chronic venous ulcers. Strongercompression in the larval group might have reduced the timeto healing.

Cite this as: BMJ 2009;338:b2064

Anders Ternhag, specialist in infectious diseases¹

¹ Department of Infectious Diseases, Karolinska University Hospital, SE-171 76 Stockholm, Sweden

anders.ternhag@karolinska.se

Competing interests: None declared.

Dumville JC, Worthy G, Bland JM, Cullum N, Dowson C, Iglesias C, et al, on behalf of the VenUS II team. Larval therapy for leg ulcers (VenUS II): randomised controlled trial. BMJ 2009;338:b773. (19 March.)[Abstract/Free Full Text]

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Larval therapy for leg ulcers (VenUS II): randomised controlled trial: Jo C Dumville, Gill Worthy, J Martin Bland, Nicky Cullum, Christopher Dowson, Cynthia Iglesias, Joanne L Mitchell, E Andrea Nelson, Marta O Soares, David J Torgerson on behalf of the VenUS II team
BMJ 2009 338: b773. [Abstract] [Full Text] [PDF]