| Clinical and scientific considerations in leech therapy for the management of acute venous congestion: an updated review. | |
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MedLine Citation:
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PMID: 10949353 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Any surgical intervention that involves the manipulation of veins, large or small, carries the risk of acute venous congestion. Venous congestion is the product of an imbalance between arterial inflow and venous outflow, and results in the stasis of blood in the tissues that are normally drained by the affected veins. The resultant lack of tissue perfusion causes hypoxia, acidosis, and arterial thrombi formation, which can potentially progress to tissue necrosis and wet gangrene. In the past several decades, the use of leeches (Hirudo medicinalis) has been rediscovered as an effective method of relieving acute venous congestion. This updated review of leech therapy focuses on the use of medicinal leeches in a variety of clinical conditions characterized by acute venous congestion, and points out the experimental use of leeches in other pathological entities. A discussion of the recent scientific findings that explain the possible mechanisms of action of leech therapy is also provided. |
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Authors:
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A B Weinfeld; E Yuksel; S Boutros; D H Gura; M Akyurek; J D Friedman |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Annals of plastic surgery Volume: 45 ISSN: 0148-7043 ISO Abbreviation: Ann Plast Surg Publication Date: 2000 Aug |
Date Detail:
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Created Date: 2001-03-08 Completed Date: 2001-05-31 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 207-12 Citation Subset: IM |
Affiliation:
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DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Antithrombins / therapeutic use Fingers / blood supply Hirudin Therapy Humans Leeches* Leg / blood supply Postoperative Care / methods* Risk Factors Venous Insufficiency / therapy* |
| Chemical | |
Reg. No./Substance:
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0/Antithrombins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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