I love maggots for debriding inflammatory ulcers. I’ve used them for this purpose since the 1990s and we still don’t have anything better. The problem is the cost. They are so efficient and don’t cause pathergy in inflammatory ulcers. I’ve been able to debride wounds in really difficult places (e.g. close to vessels).
I wonder if they will become more popular as we change the way in which outpatient wound care is reimbursed?