PA？NLESS APPROACH TO MAGGOT DEBR？DEMENT THERAPY IN PAT？ENT W？TH D？ABET？C FOOT ULCER: A CASE REPORT

Diabetic foot ulcers (DPU) are one of the serious complications of diabetes in terms of rates of morbidity, mortality and amputation. DPU develop from underlying neuropathy, peripheral arterial disease and trauma. Conventional wound care, antibiotherapy, hyperglycaemia treatment, debridement and reconstructive surgery are used for treatment. In cases where these are inadequate, Maggot Debridement Therapy (MDT) can be used as a complementary treatment option. MDT is a method of treatment for biodegradation of the larvae of Lucilia sericata, which are called green bottle glass strains. Larvae found necrotic tissue with the help of hooks in their mouths and they allow small particles to carve wound debridement of necrotic material melted by the salivary enzymes secreted. They have antimicrobial and blood circulation enhancing properties. So they accelerate recovery. Known side effects are tickling, bleeding and pain. In some cases, pain can reach unbearable levels and the treatment may have to be terminated. Treatment modalities such as oral analgesics, epidural anesthesia, peripheral nerve blockade for the treatment of pain are used. In this case report, MDT was planned to be done in a patient with grade 2 diabetic foot wound resistant to conventional wound healing and it was aimed to evaluate and present pain levels by applying Conventional TENS to the treatment of pain