Application of Leeches in Treatment of Microcirculation Disturbances of Replanted Fingers - a Preliminary Report

• Authors: Maciej Paruzel , Jerzy Jabłecki , Adam Domanasiewicz , Leszek Kaczmarzyk
• Languages of publication: EN

Abstracts

EN

The aim of the study was to present the possibilities of application of leeches in cases of disturbances of venal out-flaw in replanted digits.Material and methods. In the period of 28 months 11 male patients aged between 19 and 51 years were subject to treatment with leeches. The group comprised 11 patients who had finger replantation or revascularization performed, and one patient who had second-toe-transfer. The indication for treatment were venal out-flaw disturbances of different etiology and their prophylaxis. Leeches were usually applied every 12 hours (two leech on one finger), the duration of treatment was from 2 to 6 days (4 days on average). After an effective application the animals were utilized. The antibiotics of aminoglicozides group were used as a prophylaxis of Aeromonas hydrophilia's infection.Results. All of the fingers treated with leeches survived. A dramatic improvement of local state of the fingers could be seen soon after the application of leeches. All of the patients did not complain of any discomfort associated with the therapy.Conclusion. The application of leeches in cases of disturbances venal out - flaw in replanted digits seems to be a valuable alternative of other methods commonly used.

Keywords

EN

medical leech; digital replantation; disturbances of cicrulation

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2007
• Volume: 79
• Issue: 8
• Pages: 548-554

Dates

published

1 - 8 - 2007

online

27 - 11 - 2007

Contributors

author

Maciej Paruzel

• Subdepartment of Replantation of Limbs, St. Hedwig District Hospital in Trzebnica

author

Jerzy Jabłecki

• Subdepartment of Replantation of Limbs, St. Hedwig District Hospital in Trzebnica

author

Adam Domanasiewicz

• Subdepartment of Replantation of Limbs, St. Hedwig District Hospital in Trzebnica

author

Leszek Kaczmarzyk

• Subdepartment of Replantation of Limbs, St. Hedwig District Hospital in Trzebnica

References

• Dynowski Z: Podstawy hirudoterapii Elsevier. Warszawa 2006; s. 4-55.
• Sawyer RT: Leech Biology and Behaviour. Oxford Science Publications, Oxford 1986; t. 1, s. 467-535.
• Baudet J: The use of leeches in distal digital replantation. Blood Coagul Fibrinolysis 1991; 2(1): 193-96.[PubMed][Crossref]
• Wade JW, Brabham RF, Allen RJ: Medicinal leeches; once again at the forefront of medicine. South Med J 1990; 83(10): 1168-73.[Crossref]
• Barnett GR, Taylor GI, Mutimer KL: The "chemical leech": intra-replant subcutaneous heparin as an alternative to venous anastomosis. Report of three cases. Br J Plast Surg 1989; 42(5): 556-58.
• Whitlock M F, O'Hare P M, Sanders R et al.: The medicinal leech and its use in plastic surgery. A possible cause for infection. Br J Plast Surg 1983; 36: 240.
• Foucher G, Norris RW: Distal and very distal digital replantations. Br J Plast Surg 1992; 45(3): 199-203.[PubMed]
• Molski M: Bardzo obwodowe replantacje palców rąk. Chir Narz Ruchu Ortop Pol 2000; 65: 5-12.
• Walaszek I, Żyluk A: Odległe wyniki replantacji palców rąk. Cz. 1. Ocena przepływu w tętnicach palcowych i obiektywnych wskaźników sprawności ręki. Pol Przegl Chir 2004; 76(11): 1119-28.
• Foucher G, Henderson, HP, Maneau I et al.: Distal digital replantation; one of the best indications for microsurgery. Int J Microsurg 1981; 3: 265.
• Brody GA, Maloney WJ, Hentz VR: Digit replantation applying the leech Hirudo medicinalis. Clin Orthop Relat Res 1989; 245: 133-37.[PubMed]
• Batchelor AG, Davison P, Sully L: The salvage of congested skin flaps by the application of leeches. Br J Plast Surg 1984; 37: 358.[PubMed]
• Gordon L, Leitner D, Buncke W et al.: Partial nail plate removal after digital replantation as an alternative method of venous drainage. J. Hand Surg 1985; 10A: 360-65.
• Siemionow M: Hemodynamika mikrokrążenia wolnego płata mięśniowego w badaniu doświadczalnym in vivo. Praca habilitacyjna, Akademia Medyczna, Poznań 1991.
• Callegari PR, Moore JH Jr, Degnan GG: The leech amphitheater for digital replantation. Plast Reconstr Surg 1992; 90(3): 511-13.[PubMed][Crossref]
• Gur E, Eldor A: Medicinal leeches for the salvage of a replanted digit. Isr Med Assoc 1999; 1(1): 62.
• Hermansdorfer J, Lineaweaver W, Follansbee S et al.: Antibiotic sensitivities of Aeromonas hydrophila cultured from medicinal leeches. Br J Plast Surg 1988; 41(6): 649-51.

Identifiers

DOI

10.2478/v10035-007-0085-8