Volume 60 - Issue 7 - July 2014 ISSN 1943-2720

A Retrospective, Quality Improvement Review of Maggot Debridement Therapy Outcomes in a Foot and Leg Ulcer Clinic

Index: Ostomy Wound Manage. 2014;60(7):16–25.

Keywords: retrospective study, larva, wound, debridement, foot ulcer


  Maggot debridement is the deliberate use of larvae known to consume only necrotic tissue. A retrospective quality improvement analysis of maggot debridement therapy (MDT) was conducted among patients with devitalized tissue or gangrene attending a Canadian foot and leg ulcer clinic who received MDT between January 2001 and June 2006.

Extracorporeal Shock Wave Therapy as an Adjunct Wound Treatment: A Systematic Review of the Literature

Index: Ostomy Wound Manage. 2014;60(7):26–39.

Keywords: extracorporeal shock wave therapy, soft tissue wounds, wound healing, physical therapy, systematic review


  Standard care procedures for complex wounds are sometimes supported and reinforced by physical treatment modalities such as extracorporeal shock wave therapy (ESWT). To evaluate available evidence of ESWT effectiveness in humans, a systematic review of the literature was conducted using MEDLINE, PubMed, Scopus, EBSCOhost, and PEDro databases.

Transcutaenous Electrical Nerve Stimulation to Manage a Lower Extremity Wound Complicated by Peripheral Arterial Disease: A Case Report

Index: Ostomy Wound Manage. 2014;60(7):40–45.

Keywords: case study, peripheral arterial disease, wound, leg ulcer, transcutaneous electrical nerve stimulation


  Transcutaneous electrical nerve stimulation (TENS) is used to alleviate muscle pain, and there is some evidence it may affect healing in chronic wounds. An 80-year-old male patient with a chronic left lower extremity wound and a history of peripheral arterial disease, type 2 diabetes, hypertension, chronic obstructive pulmonary disease, and lung cancer presented for treatment. Previous protocols of care, mainly consisting of sharp debridement and daily dressing changes, had not resulted in a decrease in wound size.

From the Editor: A Call for Innovation

  The July issue of Ostomy Wound Management for years has featured products and services to supply your care armamentarium. What began as our Buyers Guide (now available and continually updated at www.wounds360bg.com) became an opportunity to focus on specific innovative devices and unique approaches for the management and prevention of wound, ostomy, and skin problems. Medicine is as much art and creativity as it is science; our niche is a microcosm of the ingenuity and persistence needed to maintain and/or achieve health and healing. Clinicians in this field seem especially willing to try anything (using evidence-based methods, of course) when nothing seems to work.

Is it Time to Rethink Your Wound Care Modalities in Complex Wound Management?

  Complex patients with multiple comorbidities are becoming increasingly more common; consequently, so are complex wounds. The main challenges associated with complex wounds include the need for multiple modalities, limitations of advanced therapies (eg, access, compliance, cost), and underlying disease concerns (eg, diabetes, vascular disease). In my wound care clinic patient population, where 80% of the patients have diabetes, these complex patients are the norm.

My Scope of Practice: Getting Patients on Board With Care

  “The only source of knowledge is experience.” — Albert Einstein

  Mary Haddow, RN, CWCN, has deemed herself a poster child for delicate, at-risk skin. “As an Irish-Catholic redhead, I have struggled with managing delicate, at-risk skin all of my life,” she says. “Self-preservation was and remains an underlying motivator for why I decided to focus on wound care.”

AAWC Update

  The Association is grateful to everyone who attended the Symposium on Advanced Wound Care (SAWC Spring) and visited the AAWC booth. Many participated in the AAWC’s fundraising activities; proceeds support the Scholarship Fund, Global Volunteers Program, and Patient Advocacy efforts. If you missed SAWC Spring in Orlando, be sure to join us at SAWC Fall at Caesars Palace in Las Vegas, October 16–18, 2014.

Innovations That Work!

  For this year’s innovations issue, Ostomy Wound Management invited manufacturers to tout the products of which they are most proud. The descriptions are presented alphabetically by product. Also included is a product testimonial from an experienced clinician. For ready, convenient access to comprehensive listings and information on wound, ostomy, and continence products and services, we encourage you to visit the Wounds 360 Buyers Guide, available at www.wounds360bg.com. Your comments and feedback are always welcome.