When and how should leeches be applied in cases of venous congestion?

Aim of this study is to discuss the results of cases where leeches were applied to prevent the development of venous congestion following replantation and flap surgery. Methods Leeches were applied to a total of 31 patients with appropriate and sufficient follow-up in the Orthopaedics and Traumatology Clinics of Antalya State Hospital and Antalya Training and Research Hospital between 1997 and 2015. The patients comprised 20 cases of replantation and 11 cases of crush syndrome. The rates of necrosis were examined in these patients following the application of leeches. Results Following the application of leeches, necrosis was determined in 5 of the 20 adult replantation or revascularisation cases with venous congestion and in 6 of the 11 cases of crush injury. No serious allergic reaction was observed in any case following leech application. Conclusion In patients with replantation or crush injuries who cannot be treated by conventional methods, the application of leeches is an effective method in the treatment of venous congestion

___

1- Yıldız M, Karagüzel A. Application of leeches in Microsurgery. J Med Science. 1993;19(4):419-22.

2- Wells MD, Manktelow RT, Boyd JB.Bowen VB. The medical leech: An old treatment revisited. Microsurgery. 1993;14:183-6. 3- Biofarm Leeches. Product information.U.K. 1994.

4- Hartrampf CR Jr, Drazan L, Noel RT. A mechanical leech for transverse rectus abdominis musculocutaneous flaps. Ann Plast Surg. 1993;31(2):103-5.

5- Vural E, Key JM. Complications, salvage, and enhancement of local flaps in facial reconstruction. Otolaryngol Clin North Am. 2001;34(4):739-51.

6- Mumcuoglu K, Pidhorz C, Cohen A Ofek, Lipton H, The use of the medicinal leech, Hirudo medicinalis, in the reconstructive plastic surgery. The Internet J Plast Surg. 2006;4(2):1-9.

7- Mumcuoglu KY, Huberman L, Cohen R, Temper V, Adler A, Galun R, Block C. Elimination of symbiotic Aeromonas spp. from the intestinal tract of the medicinal leech, Hirudo medicinalis, using ciprofloxacin feding. Clin Microbiol Infect. 2010;16(6):563-7.

8- Nguyen MQ, Crosby MA, Skoracki RJ, Hanasono MM. Outcomes of flap salvage with medicinal leech therapy. Microsurgery. 2012;32(5):351-7.

9- Pereira JA, Greig JR, Liddy H, Ion L, Moss ALH, Leech-borne Serratia marcescens infection following complex hand injury. Br J Plast Surg. 1998;51(8):640-1.

10- Schnabl SM.Comment on Riede F, Koenen W, Goerdt S, Ehmke H, Faulhaber J. Medicinal leeches for the treatment of venous congestion and hematoma after plastic reconstructive surgery in J Dtsch Dermatol Ges 2010;11:881-9. J Dtsch Dermatol Ges. 2011;9(6):490- 1.

11- Whitaker IS, Oboumarzouk O, Rozen WM, Naderi N, Balasubramanian SP, Azzopardi EA, Kon M.The efficacy of medicinal leeches in plastic and reconstructive surgery: a systematic reviewof 277 reported clinical cases. Microsurgery. 2012;32(3):240- 50.

12- Chepeha DB, Nussenbaum B, Bradford CR, Teknos TN. Leech therapy for patients with surgically unsalvageable venous obstruction after revascularized free tissue transfer. Arch Otolaryngol Head Neck Surg. 2002;128(8):960-5.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Anesthetic management in a patient with Friedreich’s Ataxia: A different approach

SEDAT AKBAŞ, Erol TOY, AHMET SELİM ÖZKAN

When and how should leeches be applied in cases of venous congestion?

Cengiz ALDEMİR, Fatih DUYGUN

The effect of licorice drink on cytochrome P3A6 and P-glycoprotein gene transcription in rabbits

Su Rawia A . AL-BALAWNİH

Nasal septum and sphenoid sinus located adenoid cystic carcinoma

Eda Bengi YILMAZ, Onur İSMİ, Sukran OZTEP, TUBA KARA, Yusuf VAYISOĞLU

Thoracic epidural anesthesia for severe myasthenia gravis patient undergoing laparoscopic cholesistectomy

Basak ALTİPARMAK, Leyla ŞAHAN, SEMRA DEMİRBİLEK

Comparison of ultrasonic pachymetry, with a new optical biometry and tono-pachymetry

Hacı Murat SAĞDIK, Serdar AKTAŞ, Mehmet TETİKOĞLU, FATİH ÖZCURA

The effects of ankaferd blood stopper on DNA damage and enzymes with paranchymal damaged rabbits

Bayram METİN, Esma MENEVŞE, Abdullah SİVRİKAYA, Tamer ALTİNOKS, Hilal ARIKOĞLU

Effect of lead nanoparticles inhalation on bone calcium sensing receptor, hydroxyapatite crystal, and receptor activator of nuclear factor-kappa B in rats

Rendra LEONAS, Zairin NOOR, Hermawan Nagar RASYİD, Tita Husnitawati MADJİD, Fachry Ambia TANJUNG

Application of next generation sequencing in forensic science

GÖNÜL FİLOĞLU TÜFEK, Irmak SAH, Muhammed DOĞAN, Sila Bulut NALCAOGLU, ÖZLEM BÜLBÜL, Ilksen TAVACİ, TUĞBA ÜNSAL SAPAN

The effect of tramadole hcl and paracetamol on fracture healing in rat tibia model

Baris AYRANCİ, Ali Murat KALENDER, REŞİT SEVİMLİ, MEHMET FATİH KORKMAZ, Ökkeş BİLAL