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| UNIQUE THERAPIES FOR DIFFICULT WOUNDS prevent escape of maggots while allowing them to breathe. The bandage should remain in place for >««ÀoÝim>ÌilÞÊÎÊ`>ÞÃ]Ê>ÌÊÜhiVhÊÌimiÊ ÌhiÊm>}}oÌÃÊ are removed or replaced.15 Cost of treatment varies based on the individual wound. In a human study of necrotic venous ulcers, ÌhiÊ>ÛiÀ>}iÊVoÃÌÊovÊm>}}oÌÊÌhiÀ>«ÞÊÜ>ÃÊ>««ÀoÝim>ÌilÞÊ half the cost of conventional treatment and required fewer applications to achieve the same end result.15 Disadvantages According to practitioners, the most common disad- vantage of maggot therapy is that it may take 24 to 48 hours to receive maggots. In addition, application takes longer because the dressing must withstand any efforts the patient may make to remove it.15 Human patients undergoing maggot wound debridement fre- quently complain about discomfort or pain associated with movement of maggots within the wound.15 CONCLUSION Using unique, and what may be considered “old school,” remedies for treating wounds that are infect- ed or nonhealing may be the ideal option for com- panion animal patients. As long as current research supports a modality, clinicians should not be afraid to use it when indicated. Topical old-school agents are not susceptible to bacterial resistance and offer «À>VÌiV>l]ÊloÜ-VoÃÌÊ>lÌiÀn>ÌiÛiÃÊÌoÊmoÀiÊiÝ«inÃiÛiÊ>n`Ê «oÌinÌi>llÞÊÌoÝiVÊ>nÌiLioÌiVð Q References 1. Rodeheaver GT, Pettry D, Thacker JG, et al. Wound cleansing by high pressure irrigation. Surg Gynecol Obstet 1975; 141:357-362. 2. Mathews KA, Binnington AG. Wound management using sugar. Comp Cont Educ Pract Vet 2002; 24(1):41-50. 3. Mathews KA, Binnington AG. Wound management using honey. Comp Cont Educ Pract Vet; 2002; 24(1):53-60. 4. Jull AB, Rodgers A, Walker N. Honey as a topical treatment for wounds. Cochrane Database Syst Rev 2008; 8(4):CD005083. 5. Gethin GT, Cowman S, Conroy RM. The impact of Manuka honey dressings on the surface pH of chronic wounds. Int Wound J 2008; 5(2):185-194. 6. Benhanifia MB, Boukraa L, Hammoudi SM, et al. Recent patents on topical application of honey in wound and burn management. Recent Pat Inflamm Allergy Drug Discov 2011; 5(1):81-86. 7. Lusby PE, Coombes A, Wilkinson JM. Honey: A potent agent for wound healing? J Wound Ostomy Continence Nurs 2002; 29(6): 295-300. 8. Liptak JM. An overview of the topical management of wounds. Aust Vet J 1997; 75(6):408-413. 9. Molan PC. The antibacterial activity of honey. Variation in the potency of antibacterial activity. Bee World 1992; 16 Today’s Veterinary Practice July/August 2011 Kristen O’Connell is a third-year veterinary student at Mississippi State University. After receiving her DVM, she plans to specialize in small animal surgery. Jennifer L. Wardlaw, DVM, MS, Diplomate ACVS, is an assistant professor of small animal surgery in the Department of Clinical Sciences at the Mississippi State University College of Veterinary Medicine. Her interests include arthritis, reconstructive surgery, wounds, nutraceuticals, and developmental orthopedic diseases. Dr. Wardlaw has spoken at numerous national meetings as well as published various research articles and book chapters. She received her DVM from University of Missouri and completed her internship, residency, and MS at Mississippi State University. 73:59-76. 10. Johnston CS, Gaas CA. Vinegar: Medicinal uses and antiglycemic effect. MedGenMed 2006; 8(2): 61. 11. Moues CM, Heule F, Legerstee R, Hovius S. Five millennia of wound care products—what is new? A literature review. Ostomy Wound Manage 2009; 55(3):16-32. 12. Barillo DJ. Topical antimicrobials in burn wound care: A recent history. Ostomy Wound Manage 2008; 20(7):192-198. 13. Heggers JP, Sazy JA, Stenberg BD, et al. Bactericidal and wound-healing properties of sodium hypochlorite solutions: The 1991 Lindberg Award. 1991. J Burn Care Rehab 1991; 12(5):420-424. 14. Lindfors J. A comparison of an antimicrobial wound cleanser to normal saline in reduction of bioburden and its effect on wound healing. Ostomy Wound Manage 2008; 50(8):28-41. 15. Jones G, Wall R. Maggot-therapy in veterinary medicine. Res Vet Sci 2008; 85:394-398. 16. Sherman RA, Stevens H, Ng D, Iverson E. Treating wound in small animals with maggot debridement therapy: A survey of practitioners. Vet J 2007; 173:138-143. 17. Nigam Y, Dudley E, Bexfield A, et al. The physiology of wound healing by the medicinal maggot, Lucilia sericata. Advan Insect Physiol 2010; 10:39-81.