In a letter to the British Medical Journal, they say doctors now use maggots as a last resort. We suggest that the earlier application of maggots should be consider to clean up problems or infected wounds at an earlier stage, which would in many cases obviate the need for topical or systemic antimicrobial treatment. It is the doctors who are the problem. Patients have often been suffering for years and have tried all conventional treatments. They just want to get healed.
Doctors seem to think maggots are a step backwards.
Or maybe they just don't like wriggly maggots. The maggots are used when they are only three days old and around two millimetres long. They are applied to the wound, sealed in with a bandage and left to feed. They churn out enzymes that break up the dead tissue and liquefies it. The maggots them suck it back up, cleaning up the infection as they go.