Hirudotherapy in reconstructive surgery: Case-reports and
review

J 2020

Hirudotherapy in reconstructive surgery: Case-reports and review

HEINZ, P., P. TVRDÝ, R. PINK, Zdeněk DVOŘÁK, P. MICHL et. al.

Basic information

Original name

Hirudotherapy in reconstructive surgery: Case-reports and review

Authors

HEINZ, P. (203 Czech Republic), P. TVRDÝ (203 Czech Republic), R. PINK (203 Czech Republic), Zdeněk DVOŘÁK (203 Czech Republic, belonging to the institution) and P. MICHL (203 Czech Republic)

Edition

Acta chirurgiae plasticae, Praha, Česká lékařská společnost J. E. Purkyně, z.s./Mladá fronta a.s. 2020, 0001-5423

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

RIV identification code

RIV/00216224:14110/20:00121742

Organization unit

Faculty of Medicine

Keywords in English

European medicinal leech; hirudotherapy; venostasis; reconstruction; complication; flap

Abstract

V originále

Medicinal leeches (Hirudo medicinalis, Hirudo verbana) have been used in the field of medicine to treat various diseases for thousands of years. Popularity of their use changed over time and in Europe, it peaked at the beginning of the 19th century. In modern medicine, application of leeches on flaps with venous congestion was first used and described by Deganc and Zdravic in 1960. A certain renaissance of leech use is currently taking place, especially in the field of reconstructive surgery. In general, use of leeches is indicated during critical post-operative period, in which the microcirculation and veins are incapable of sufficient drainage of venous blood, which can lead to stagnation of circulation in tissues at all levels, clinically manifested as a change in color and turgor of the flap. If this venostasis is not recognized in time and treated adequately, tissue necrosis can develop. Medicinal leeches can be used in venous drainage disorders after a replantation of fingers, auricles, lips and parts of the nose. In head and neck reconstructive surgery, there are many studies that confirm the success rate of hirudotherapy in hematoma evacuation or in dealing with complications after scalp replantation and transfers of free and pedicled flaps. Leech application therapy can also be indicated as a part of non-surgical methods that improve conditions of the venous system.

Citovat

HEINZ, P., P. TVRDÝ, R. PINK, Zdeněk DVOŘÁK and P. MICHL. Hirudotherapy in reconstructive surgery: Case-reports and review (HIRUDOTERAPIE V REKONSTRUKČNÍ CHIRURGII: KAZUISTIKY A REVIEW). Acta chirurgiae plasticae. Praha: Česká lékařská společnost J. E. Purkyně, z.s./Mladá fronta a.s., 2020, vol. 62, 3-4, p. 95-102. ISSN 0001-5423.

@article{1775061,
   author = {Heinz, P. and Tvrdý, P. and Pink, R. and Dvořák, Zdeněk and Michl, P.},
   article_location = {Praha},
   article_number = {3-4},
   keywords = {European medicinal leech; hirudotherapy; venostasis; reconstruction; complication; flap},
   language = {eng},
   issn = {0001-5423},
   journal = {Acta chirurgiae plasticae},
   title = {Hirudotherapy in reconstructive surgery: Case-reports and review},
   url = {https://www.prolekare.cz/en/journals/acta-chirurgiae-plasticae/2020-3-4-3/hirudotherapy-in-reconstructive-surgery-case-reports-and-review-125936},
   volume = {62},
   year = {2020}
}

TY  - JOUR
ID  - 1775061
AU  - Heinz, P. - Tvrdý, P. - Pink, R. - Dvořák, Zdeněk - Michl, P.
PY  - 2020
TI  - Hirudotherapy in reconstructive surgery: Case-reports and review
JF  - Acta chirurgiae plasticae
VL  - 62
IS  - 3-4
SP  - 95-102
EP  - 95-102
PB  - Česká lékařská společnost J. E. Purkyně, z.s./Mladá fronta a.s.
SN  - 00015423
KW  - European medicinal leech
KW  - hirudotherapy
KW  - venostasis
KW  - reconstruction
KW  - complication
KW  - flap
UR  - https://www.prolekare.cz/en/journals/acta-chirurgiae-plasticae/2020-3-4-3/hirudotherapy-in-reconstructive-surgery-case-reports-and-review-125936
N2  - Medicinal leeches (Hirudo medicinalis, Hirudo verbana) have been used in the field of medicine to treat various diseases for thousands of years. Popularity of their use changed over time and in Europe, it peaked at the beginning of the 19th century. In modern medicine, application of leeches on flaps with venous congestion was first used and described by Deganc and Zdravic in 1960. A certain renaissance of leech use is currently taking place, especially in the field of reconstructive surgery. In general, use of leeches is indicated during critical post-operative period, in which the microcirculation and veins are incapable of sufficient drainage of venous blood, which can lead to stagnation of circulation in tissues at all levels, clinically manifested as a change in color and turgor of the flap. If this venostasis is not recognized in time and treated adequately, tissue necrosis can develop. Medicinal leeches can be used in venous drainage disorders after a replantation of fingers, auricles, lips and parts of the nose. In head and neck reconstructive surgery, there are many studies that confirm the success rate of hirudotherapy in hematoma evacuation or in dealing with complications after scalp replantation and transfers of free and pedicled flaps. Leech application therapy can also be indicated as a part of non-surgical methods that improve conditions of the venous system.
ER  -

HEINZ, P., P. TVRDÝ, R. PINK, Zdeněk DVOŘÁK and P. MICHL. Hirudotherapy in reconstructive surgery: Case-reports and review (HIRUDOTERAPIE V REKONSTRUKČNÍ CHIRURGII: KAZUISTIKY A REVIEW). \textit{Acta chirurgiae plasticae}. Praha: Česká lékařská společnost J. E. Purkyně, z.s./Mladá fronta a.s., 2020, vol.~62, 3-4, p.~95-102. ISSN~0001-5423.

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