1993
DOI: 10.1002/micr.1920140309
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The medical leech: An old treatment revisited

Abstract: The treatment modality of choice for venous insufficiency after free tissue transfer or replantation remains surgical repair. When this is not technically possible, the use of medical leeches is a useful adjunct to treatment. This paper reviews the history of the use of leeches in medicine, the anatomy and physiology of Hirudo medicinalis, the techniques of leech therapy, and the complications and contraindications.

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Cited by 72 publications
(51 citation statements)
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“…50,51 Due to its relative accessibility and simplicity, the CNS of the medicinal leech has been extensively studied. The CNS of the leech consists of thirty-two bilateral neuromeres, of which the 4 anterior-most fuse to form the sub-esophageal ganglion and the 7 posterior-most fuse to form the caudal ganglion.…”
Section: Resultsmentioning
confidence: 99%
“…50,51 Due to its relative accessibility and simplicity, the CNS of the medicinal leech has been extensively studied. The CNS of the leech consists of thirty-two bilateral neuromeres, of which the 4 anterior-most fuse to form the sub-esophageal ganglion and the 7 posterior-most fuse to form the caudal ganglion.…”
Section: Resultsmentioning
confidence: 99%
“…20 Otra de la posibles complicaciones es la anemización severa del paciente, debida a una hemorragia contínua. El volumen de sangre perdido depende del número de sanguijuelas utilizadas y de la frecuencia y tiempo total de aplicación, 21 pero no es en ningún caso despreciable, por lo que es práctica obligada monitorizar las constantes del paciente así como la hemoglobina y el hematocrito durante el tratamiento con sanguijuelas.…”
Section: Discussionunclassified
“…[26][27][28][29][30] The most common leech used is Hirudo medicinalis. The use of medicinal leeches can increase the risk of wound infections.…”
Section: Leechesmentioning
confidence: 99%