Willing to lose your foot?

Everyone loves their foot. Regardless the foot/feet are good in playing football or not, the thing is no one willing to sell/lose their leg even for a million of dollar. Why? The answer is definitely already in your mind.

However there are some cases when you might lose your foot. The most famous reason is when your leg/foot committed to chronic wounds, complication from diabetic disease. When the wound becomes worst, the only solution to save your life is to lose your foot by amputation. Better lose foot rather than lose your life? Is it true? Once again, you answer on your own.

However, if there is a chance for you to save your foot, you are so STUPID if you let doctors cut your leg. That's why we introduce Maggot Debridement Therapy (MDT), a biosurgical using sterile maggots/larvae to heal your wounds by debriding/cleansing the dead tissue or necrotic. This treatment is just appear to Malaysia, thanks a lot to our researchers who did their best to produce sterile maggots using local species of fly, named Lucilia cuprina.

You can visit our website, www.sterilarvae.com for further information of MDT and if you are the one who are in waiting list for amputation, do not hesitate to reach us. We try our best to help you.

What Is Maggot Debridement Therapy (MDT) ?

Maggot Debridement Therapy (MDT) is the medical use of live maggots (fly larvae) for cleaning non-healing wounds.

In maggot debridement therapy (also known as maggot therapy, larva therapy, larval therapy, biodebridement or biosurgery), disinfected fly larvae are applied to the wound within special dressings. Medical grade maggots have three primary actions: they clean the wound by removing dead and infected tissue ("debridement"), they disinfect the wound (kill bacteria), and they speed the rate of healing.

MDT can be used for the treatment of pressure ulcers, burns, venous stasis ulcers, osteomyelitis, diabetic foot ulcers, MRSA infected wounds, debridement of infected surgical wounds and even chronic, non healing ulcers.

In Malaysia and SEA countries these sterile maggot known as a " STERILARVAE" and been produced and commercialized by the company name Medical Biotherapy Sdn Bhd.

MDT In Malaysia

MDT has and is being used extensively in the United Kingdom and the United States, where sterile maggots are commercially available. It has been used as one of the modalities for the treatment of infected diabetic foot ulcers. The species used in these temperate climates is the blowfly Lucilia sericata. Here in Malaysia, being a country with tropical weather, we have the tropical blowfly lucillia cuprina, instead of lucillia sericata. MDT with L cuprina to our knowledge has never been published. It has been tried once before here in Malaysia on 12 patients with diabetic foot wounds at the Lumut Naval Hospital. Two patients in this study had MDT discontinued. The other 10 had their wounds heal satisfactorily. This was a descriptive study by post grad medical student and assisted by IMR. They have tried to build on this by conducting a prospective case controlled study to prove that MDT with lucillia cuprina is as effective as conventional debridement in the treatment of infected diabetic foot ulcers.

Currently MDT treatment only available at Hospital Kuala Lumpur (HKL) and Hospital Sg. Buloh. Sterilarvae is a control product and can only be applied by prescription from registered Medical Officers. Thus, patients who want to apply this treatment have first to seek recommendation from doctors and sterilarvae will only applied once recommended.

With a good demand from end users, MDT treatment can also be applied by appointment. We'll arrange for medical examination and if recommended, MDT can be applied. For appointment, please email to : medbiotherapy@gmail.com. TQ

History of Maggot Therapy

Historically, maggots have been known for centuries to help heal wounds. Many military surgeons noted that soldiers whose wounds became infested with maggots did better and had a much lower mortality rate than did soldiers with similar wounds not infested. There is strong evidence to suggest that wounds were intentionally infested with fly larvae by one or two confederate military surgeons during the American Civil War. But it was William Baer, at Johns Hopkins University in Baltimore, Maryland during the late 1920's, who first treated, studied, and published a sizable series of patients into whose wounds he applied maggots. Baer is also one of the first to recommend using specific species of blow flies, specially reared and disinfected for that purposed. Baer presented his findings at conferences; his results in 98 children with osteomyelitis were published posthumously by his colleagues in 1931. MDT was successfully and routinely performed by thousands of physicians until the mid-1940's, when its use was supplanted by the new antibiotics and surgical techniques that came out of World War II. Maggot therapy was occasionally used during the 1970's and 1980's, but only when antibiotics, surgery, and modern wound care failed to control the advancing wound. The first modern clinical studies of maggot therapy were initiated in 1989, at the Veterans Affairs Medical Center in Long Beach, CA, and at the University of California, Irvine, to answer the following questions:

• Is maggot therapy still useful today?"

• Should maggot therapy be used as an adjunct to other treatments, not merely as a last resort?"

• How does maggot therapy compare to other treatment at our disposal?"

The results of those early studies, and the many studies and reports that have followed, indicate that MDT is still useful today.By 1995, a handful of doctors in 4 countries were using MDT. In 1996, the International Biotherapy Society was founded in Wales. Today, over 3,000 therapists are using maggot therapy in 20 countries. Approximately 30,000 treatments were applied in the year 2003. In January, 2004, the U.S. Food and Drug Administration (FDA) issued 510(k) #33391, thereby allowing the production and distribution of "Medical Maggots" as a medical device. In February, 2004, the British National Health Service (NHS) permitted its doctors to prescribe maggot therapy. Patients no longer have to be referred to one of a few regional wound-specialty hospitals to get maggot treatments.