Effectiveness of Vacuum-supported and Larval Therapy on Persistent Pressure Injuries in Debilitated Bed-bound Patient
Ahmed TAHA
*
Department of General Surgery, SBU, Bursa Yüksek İhtisas Training and Research Hospital, Turkey.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The management of pressure injuries (PIs) and immobility-related wounds poses significant clinical challenges, often requiring multimodal therapeutic interventions. This case report evaluates the integration of vacuum-assisted closure (VAC) therapy and larval debridement therapy (LDT) alongside systemic antibiotics and supportive care in a high-risk patient.
Case: A 79-year-old bedridden male with advanced dementia, type 2 diabetes mellitus, and hypertension presented with a necrotic, infected sacral pressure injury.
Conclusion: Following initial wound care and antibiotic therapy, sequential VAC and then LDT using (Lucilia sericata) were implemented, resulting in significant tissue granulation and infection resolution without complications. A ‘‘multidisciplinary approach’’ is crucial in managing complicated pressure injuries.
Keywords: Vacuum therapy, larval therapy, pressure injuries, debilitated patients, Lucilia sericata