Abstract
Throughout history a diversity of therapeutic properties have been attributed to the leech Hirudo medicinalis, however, during the past twenty years its use has proven to be a practical and effective method for the relief of venous engorgement in reconstructive surgery. In Mexico this practice has b...
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PMID: 20141667
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Abstract
Basic therapy of peripheral cochleovestibular disorders of vascular origin consists of the rational combination of medicamentous and non-medicamentous treatments that collectively ensure positive clinical results. The use of hirudotherapy for the management of peripheral cochleovestibular disorders...
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PMID: 19738593
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Abstract
Leeches are hermaphroditic and hematophagous annelids. One important medical species, Hirudo medicinalis, comes from hirudiniculture of fresh water pools. Thanks to their three mandibles with some 300 teeth on their anterior muscular sucker, they easily grab to tissues and by secreting their saliva...
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PMID: 19998801
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Abstract
We describe a patient who developed thrombotic microangiopathy and acute renal failure following leech therapy. It is proposed that the series of nonhuman proteins within leech saliva may be capable of injuring the endothelium....
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PMID: 18622333
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Abstract
We aimed to investigate the effectiveness of leech therapy in another type of osteoarthritis, osteoarthritis of the first carpometacarpal joint (thumb saddle joint). Thirty-two women with symptomatic painful osteoarthritis of the first carpometacarpal joint and who scored>40 mm on a 100mm VAS pain s...
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PMID: 18407413
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Abstract
Leeching has enjoyed a good reputation in the past where it had been used in various ailments from fevers to flatulence. The present day scientists have limited its role and the leeching nowadays is being used only in microsurgeries to relieve the venous congestion. This study was designed to explor...
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PMID: 18819614
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Abstract
It is established that patients with coronary heart disease (CHD), received hirudotherapy (HT) as a part of sanatorium-spa treatment (SST), in comparison with patients, received only traditional SST, have tendency to normalization of initially increased levels of general cholesterol (GC) and triglyc...
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PMID: 18655280
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Abstract
I and II, leeches decrease venous congestion. Laser Doppler flowmetry could demonstrate a significant increase in superficial skin perfusion following leech application 16 mm around the biting zone. Following the initial blood meal accounting for about 2.5 ml, the anticoagulant effect of the various...
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PMID: 17497605
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Abstract
Medical leeches (Hirudo medicinalis) are an important therapeutic option in the treatment of venous congestion of flaps. In a case report an infection with Aeromonas hydrophila of a free microvascular osteo-(myo)-cutaneous flap after leech application for venous congestion is described and the curre...
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PMID: 17497606
PDF is available here.
Abstract
We present one case where a digit was salvaged after 4 days of tourniquet application, using medicinal leeches....
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PMID: 17002851
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Abstract
We describe a case of delayed leech-borne infection, from the escharotic portion of a latissimus dorsi flap, which developed several days after stopping leech therapy for venous congestion in a reconstructed breast....
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PMID: 16482796
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Abstract
We report three new lineages of bacterial symbionts of blood-feeding leeches, one from the giant Amazonian leech, Haementeria ghilianii, and two others from Placobdelloides species. These hosts each possess a different mycetome or esophageal organ morphology where the bacterial cells are located. DN...
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PMID: 16151107
PDF is available here.
Abstract
This paper reports a case of prolonged bleeding following application of leeches to treat chronic pain. The paper discusses the characteristics of the wounds and possible complication of prolonged bleeding following medicinal leech application. The principles of treatment are also described.
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PMID: 15911965
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Abstract
Bloodletting is an ancient procedure that was utilized for curing the ills of man. This article traces the use of leeches for bloodletting therapy from ancient Greek times to the Chapin Harris era in the 1840s to modern day usage by plastic surgeons. The leech is described as both a parasite and a t...
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PMID: 15926663
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Abstract
Leeches are flattened annelids or segmented worms that live in still, warm waters of the pond or in land. They feed of blood or body fluids. Medicinal leeches (Hirudo medicinalis) have been used in medicine for thousands of years to treat a wide range of ailments. Nowadays, leeches are used successf...
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PMID: 15798867
PDF is available here.
Abstract
It is firstly showed that the medicinal leech salivary gland secretion (SGS) as a polycomponent system of proteins and low-molecular weight substances, activates rat subcutaneous mast cells in vitro prompting a decrease in the heparin saturation index and increasing some characteristic mast cells mo...
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PMID: 15835543
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Abstract
We report a 50-year-old man who was on aspirin therapy for coronary artery disease, and presented with GI bleed after leech treatment for his knee pain....
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PMID: 16204910
PDF is available here.
Abstract
Although it is unusual for a partial soft tissue avulsion of the face to require medicinal leech therapy, situations may occur in which there is adequate arterial inflow but inadequate venous outflow. In such cases, medicinal leeches may play a very important role in salvaging the soft tissue segmen...
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PMID: 15577793
PDF is available here.
Abstract
We present two class IIC cases that were treated successfully solely with leeches, with excellent results. Although the method is not a substitute for microvascular intervention leeches can be used when the clinical condition of a patient does not permit a lengthy surgery and if microvascular techni...
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PMID: 15465249
PDF is available here.
Abstract
External decontamination of wild leeches with 12.5 ppm hypochloric acid enables bacterial suppression without causing negative effects on leech sucking function and life....
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PMID: 15329153
PDF is available here.
Abstract
We carried out a survey of all 62 plastic surgery units in the United Kingdom and the Republic of Ireland to assess the current extent of use, and to investigate current practice. We have shown that the majority of plastic surgery units in the UK and Ireland use leeches post-operatively and that the...
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PMID: 15145739
PDF is available here.
Abstract
We report a case of self-inflicted penile amputation and describe a nonmicrosurgical technique for replantation. To improve postoperative edema due to venous congestion, we applied medicinal leeches to the penis. The edema quickly resolved, but overlying skin loss occurred, which required superficia...
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PMID: 15134999
PDF is available here.
Abstract
We summarise the history of treatment with Hirudo medicinalis from its origin to the present day, and take a brief look at the possible future of the annelid....
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PMID: 15013545
PDF is available here.
Abstract
Medicinal leeches have an important and expanding role in medicine, but infection can complicate their use. We describe a unique case of Aeromonas meningitis associated with the use of leech therapy to salvage a skin flap after central nervous system surgery.
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PMID: 14765362
PDF is available here.
Abstract
Digits amputated through trauma can often be replanted and regain function. Success depends on preoperative care of the digit and minimising the time the digit is without blood supply. Long-term patient compliance with postoperative care and therapy is necessary to maximise postoperative functioning...
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PMID: 15517735
PDF is available here.
Abstract
Hirudotherapy was used in the treatment of 39 patients (10 male and 29 female) aged 28-58 years with chronic sialadenitis and sialadenosis. Control group consisted of 15 normal subjects without diseases of salivary glands. Lipid peroxidation (LPO) and antioxidant defense (AOD) parameters were under...
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PMID: 15021872
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Abstract
No significant differences were seen in blood volume removed, surface perfusion, and oxygen tension. However, significant differences were seen in skin color change over time. Histological assessment showed mild congestion in 5/5 leech-treated flaps and 2/6 device-treated flaps. CONCLUSION: Device t...
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PMID: 14595279
PDF is available here.
Abstract
Medicinal leeches (Hirudo medicinalis) have been used in medicine for thousands of years to treat a wide range of ailments. Nowadays, leeches are used successfully for only a few conditions, notably in the field of reconstructive or microsurgery, to salvage tissue flaps and skin grafts whose viabili...
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PMID: 12661792
PDF is available here.
Abstract
Control flaps were characterized by progressive darkening of skin color, undetectable surface perfusion, and low levels of oxygen tension. Histologic assessment showed severe congestion and extravasation of blood and distinct signs of necrosis. In contrast, treated flaps had significant improvements...
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PMID: 12533144
PDF is available here.
Abstract
We believe, come to be a valuable adjunct in the physician's therapeutic arsenal, that can be used not only in the treatment of patients with rheumatic disorders but by family doctors as well and in other general practice settings....
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PMID: 12774473
PDF is available here.
Abstract
Twenty patients with chronic inflammatory and dystrophic diseases of the salivary glands (sialadenitis, sialadenosis) were examined and treated using hirudotherapy. Positive clinical shifts were observed in 50% patients; the most pronounced therapeutic effect was observed in patients with sialadenos...
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PMID: 12666550
PDF is available here.