Tags

Type your tag names separated by a space and hit enter

The use of medical leeches for venous congestion. A review and case report.
Vet Comp Orthop Traumatol. 2014; 27(3):173-8.VC

Abstract

The medicinal leech, Hirudo medicinalis, has been used for hundreds of years in human medicine for a variety of diseases, most recently including venous congestion following reconstructive surgeries (skin flaps and reimplantations), excessive lingual and periorbital swelling, and non-traditional treatments for osteoarthritis, compartment syndrome and sialoadenitis. The treatment of venous congestion in animals using leeches has been mentioned anecdotally, but the only published report pertains to the use of leeches in a cat suffering from polycythemia vera. We report the use of medical grade leeches in a one-year-old male castrated Domestic Shorthaired cat presenting with severe swelling of the paw after sustaining a constrictive injury from a bandage. The limb use had become compromised and the swelling was not responsive to compression bandages so leech therapy was instituted for four days and the swelling dramatically improved. The patient's limb use improved back to normal and the constrictive wound went on to heal without complication. The use of leeches in this case allowed for resolution of severe venous congestion and a full return to function in this patient with no continued skin loss. The mechanism of action of hirudotherapy for venous congestion is to allow for an alternative egress of pooled venous blood leading to a reduction in capillary pressure and increases in arterial reperfusion of capillary beds. The human and veterinary applications, method, and potential complications with hirudotherapy are discussed in this review.

Authors+Show Affiliations

Nicole J Buote, DVM DACVS, 1818 South Sepulveda Blvd, Los Angeles, CA 90025, United States, Phone: +1 310 473 2951, E-mail: Nicole.buote@vcahospitals.com.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

24764080

Citation

Buote, N J.. "The Use of Medical Leeches for Venous Congestion. a Review and Case Report." Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T, vol. 27, no. 3, 2014, pp. 173-8.
Buote NJ. The use of medical leeches for venous congestion. A review and case report. Vet Comp Orthop Traumatol. 2014;27(3):173-8.
Buote, N. J. (2014). The use of medical leeches for venous congestion. A review and case report. Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T, 27(3), 173-8. https://doi.org/10.3415/VCOT-13-10-0122
Buote NJ. The Use of Medical Leeches for Venous Congestion. a Review and Case Report. Vet Comp Orthop Traumatol. 2014;27(3):173-8. PubMed PMID: 24764080.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of medical leeches for venous congestion. A review and case report. A1 - Buote,N J, Y1 - 2014/04/25/ PY - 2013/10/06/received PY - 2014/03/07/accepted PY - 2014/4/26/entrez PY - 2014/4/26/pubmed PY - 2015/1/15/medline KW - Hirudo medicinalis KW - Sanguivorous leech KW - cat KW - constriction wound KW - hirudotherapy SP - 173 EP - 8 JF - Veterinary and comparative orthopaedics and traumatology : V.C.O.T JO - Vet Comp Orthop Traumatol VL - 27 IS - 3 N2 - The medicinal leech, Hirudo medicinalis, has been used for hundreds of years in human medicine for a variety of diseases, most recently including venous congestion following reconstructive surgeries (skin flaps and reimplantations), excessive lingual and periorbital swelling, and non-traditional treatments for osteoarthritis, compartment syndrome and sialoadenitis. The treatment of venous congestion in animals using leeches has been mentioned anecdotally, but the only published report pertains to the use of leeches in a cat suffering from polycythemia vera. We report the use of medical grade leeches in a one-year-old male castrated Domestic Shorthaired cat presenting with severe swelling of the paw after sustaining a constrictive injury from a bandage. The limb use had become compromised and the swelling was not responsive to compression bandages so leech therapy was instituted for four days and the swelling dramatically improved. The patient's limb use improved back to normal and the constrictive wound went on to heal without complication. The use of leeches in this case allowed for resolution of severe venous congestion and a full return to function in this patient with no continued skin loss. The mechanism of action of hirudotherapy for venous congestion is to allow for an alternative egress of pooled venous blood leading to a reduction in capillary pressure and increases in arterial reperfusion of capillary beds. The human and veterinary applications, method, and potential complications with hirudotherapy are discussed in this review. SN - 2567-6911 UR - https://www.unboundmedicine.com/medline/citation/24764080/The_use_of_medical_leeches_for_venous_congestion__A_review_and_case_report_ L2 - http://www.thieme-connect.com/DOI/DOI?10.3415/VCOT-13-10-0122 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.