000			01842nam a22003257a 4500
008			200826s20202020 xxu||||| |||| 00| 0 eng d
022			_a0363-5023
024			_a10.1016/j.jhsa.2020.03.026 [doi]
024			_aS0363-5023(20)30222-7 [pii]
040			_aOvid MEDLINE(R)
099			_a32493632
245			_aLeech Therapy Following Digital Replantation and Revascularization. [Review]
251			_aJournal of Hand Surgery - American Volume. 45(7):638-643, 2020 Jul.
252			_aJ Hand Surg [Am]. 45(7):638-643, 2020 Jul.
253			_aThe Journal of hand surgery
260			_c2020
260			_fFY2021
265			_sppublish
266			_d2020-08-26
520			_aVenous 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.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
656			_aCurtis National Hand Center
657			_aJournal Article
657			_aReview
700			_aHiggins, James P
790			_aDaly MC, Eberlin KR, Freniere B, Higgins JP, Pickrell BB, Safa B
856			_uhttps://dx.doi.org/10.1016/j.jhsa.2020.03.026 _zhttps://dx.doi.org/10.1016/j.jhsa.2020.03.026
942			_cART _dArticle
999			_c5321 _d5321