Leech Therapy Following Digital Replantation and Revascularization. [Review]
Leech Therapy Following Digital Replantation and Revascularization. [Review]
- 2020
Venous congestion after digital replantation or revascularization threatens digit survival in the immediate postoperative period. External bloodletting, including leech therapy, provides a central role in salvage of the congested finger. Although there have been previous studies describing the initiation of leech therapy for digits experiencing venous insufficiency, few published articles and no consensus guidelines have discussed the weaning of leeches in the postoperative period. We review the current evidence behind leech therapy and offer a treatment algorithm based on available data and existing leech weaning protocols. Copyright (c) 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
English
0363-5023
10.1016/j.jhsa.2020.03.026 [doi] S0363-5023(20)30222-7 [pii]
IN PROCESS -- NOT YET INDEXED
Curtis National Hand Center
Journal Article
Review
Venous congestion after digital replantation or revascularization threatens digit survival in the immediate postoperative period. External bloodletting, including leech therapy, provides a central role in salvage of the congested finger. Although there have been previous studies describing the initiation of leech therapy for digits experiencing venous insufficiency, few published articles and no consensus guidelines have discussed the weaning of leeches in the postoperative period. We review the current evidence behind leech therapy and offer a treatment algorithm based on available data and existing leech weaning protocols. Copyright (c) 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
English
0363-5023
10.1016/j.jhsa.2020.03.026 [doi] S0363-5023(20)30222-7 [pii]
IN PROCESS -- NOT YET INDEXED
Curtis National Hand Center
Journal Article
Review