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maggots work great, so do leeches
Maggots only eat the dead stuff. They are pricey though, for the medical grade ones. I had a patient that had questionable hygene come in sporting some wiggly rice in her foot, cleaned it up incredibly well, freaked her right out though.
Leeches are good for vascular issues. The arteries are a LOT easier to repair than the veins. One of the big problems with reattaching bits that have been lopped off is getting the blood out of the part, as the arteries carry it to the part. Stick a leech on the end of the finger or toe, and it secretes an anti-coagulant and sucks the blood out. Keeps the piece from turning blue, then black, long enough for your body to hook up the rest of the plumbing to carry the blood back to your heart.
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