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Leech Therapy Following Digital Replantation and Revascularization.
J Hand Surg Am. 2020 Jul; 45(7):638-643.JH

Abstract

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.

Authors+Show Affiliations

Division of Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts General Hospital, Harvard Medical School, Boston, MA.Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.Division of Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts General Hospital, Harvard Medical School, Boston, MA.Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.Buncke Clinic, San Francisco, CA.Division of Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: keberlin@mgh.harvard.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32493632

Citation

Pickrell, Brent B., et al. "Leech Therapy Following Digital Replantation and Revascularization." The Journal of Hand Surgery, vol. 45, no. 7, 2020, pp. 638-643.
Pickrell BB, Daly MC, Freniere B, et al. Leech Therapy Following Digital Replantation and Revascularization. J Hand Surg Am. 2020;45(7):638-643.
Pickrell, B. B., Daly, M. C., Freniere, B., Higgins, J. P., Safa, B., & Eberlin, K. R. (2020). Leech Therapy Following Digital Replantation and Revascularization. The Journal of Hand Surgery, 45(7), 638-643. https://doi.org/10.1016/j.jhsa.2020.03.026
Pickrell BB, et al. Leech Therapy Following Digital Replantation and Revascularization. J Hand Surg Am. 2020;45(7):638-643. PubMed PMID: 32493632.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leech Therapy Following Digital Replantation and Revascularization. AU - Pickrell,Brent B, AU - Daly,Michael C, AU - Freniere,Brian, AU - Higgins,James P, AU - Safa,Bauback, AU - Eberlin,Kyle R, Y1 - 2020/05/31/ PY - 2019/09/29/received PY - 2020/02/13/revised PY - 2020/03/30/accepted PY - 2020/6/5/pubmed PY - 2020/6/5/medline PY - 2020/6/5/entrez KW - Artery-only replantation KW - Hirudo medicinalis KW - digital amputation KW - hand reconstruction KW - leech therapy SP - 638 EP - 643 JF - The Journal of hand surgery JO - J Hand Surg Am VL - 45 IS - 7 N2 - 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. SN - 1531-6564 UR - https://www.unboundmedicine.com/medline/citation/32493632/Leech_Therapy_Following_Digital_Replantation_and_Revascularization L2 - https://linkinghub.elsevier.com/retrieve/pii/S0363-5023(20)30222-7 DB - PRIME DP - Unbound Medicine ER -
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