Abstract
The prevalence of diabetes mellitus and peripheral arterial disease (PDA) is likely to continue to rise rapidly and to a particularly serious level in Japan which is already a super-aged society. Severe diabetic foot ulcers and critical limb ischemia frequently do not respond well to appropriate intensive care, resulting in amputation of the lower extremities. Maggot therapy is suitable for therapeutic use in the debridement of chronic wounds using sterile larvae of flies. It is expected to be useful as an alternative to conventional therapy for wound healing. Outpatient clinics can play an important role in promoting recognition of the benefits and use of this treatment for non-healing ulcers in Japan.
