Dressing and debridement
MACERATION, STERILE
Before applying the maggots, the wounds were cleansed by saline, and then zinc oxide was used on the healthy skin around the wounds (to protect the skin from irritation or maceration from the proteolytic wound drainage and maggot secretions). Dressings were prepared by cutting an opening in the sterile gauze as the shape of the wound. The sterile gauze was then employed over the barrier-protected periwound skin. This was done to restrict the larvae to the wound bed and to create a space for their activity. In detail, 5 to 10 maggots/1cm