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Letters

Vacuums and maggots in orthopaedic surgery

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7550.1156 (Published 11 May 2006) Cite this as: BMJ 2006;332:1156

Rapid Response:

Re:use of vacuums and maggots in orthopaedic surgery

Thank you for your comments regarding the lack of robust evidence in
the use of vac therapy and maggots. However our experience in "selected"
orthopaedic patients with wounds in difficult anatomical locations suggest
that vac can be considered as first line. Such wounds may not be amenable
to plastic surgical reconstruction or existing conventional dressings.

Vac therapy can be successively used to significantly reduce the
wound depth (by promoting granulation) over which a skin graft or flap can
be considered.

Competing interests:
None declared

Competing interests: No competing interests

16 May 2006
S THOMAS
Clinical Fellow
North Tyneside Hospital, Tyne and Wear