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- W2172252233 abstract "Background Leeches are commonly used in reconstructive surgery for the treatment of venous congestion in flaps. Documented mechanisms of action are (1) injection of the anticoagulant hirudin; (2) active suction of blood; and (3) passive oozing of the bite wound. Even though the benefits of leeches in venous congestion are widely accepted, little is known about their effects in mixed arterio-venous insufficiency. Methods Thirty Wistar rats were randomized into three groups (n = 10 each), and 9 × 3 cm ischemic random skin flaps were elevated on the rat dorsum. Group 1 served as controls. In group 2, one leech was applied to the distal part of the flap and in group 3, three leeches were applied, one at a time, at 8 h intervals. Postoperatively, flap survival and perfusion were quantitated by daily planimetry and laser-Doppler imaging. Results The application of a single leech on postoperative day 7 did not lead to any statistically significant changes in total flap survival or tissue perfusion. Triple leech application, however, caused a significant decrease in flap survival of 6.6% at day 7 (3× leech versus control: 45.8% ± 8.5% versus 52.4% ± 8.5%, respectively) (P < 0.01) and a decline in flap perfusion of 13% (3× leech versus control: 71.3% ± 16.6% versus 84.3% ± 9.3%, respectively) (P < 0.01). Conclusion The data demonstrate that the application of leeches in the setting of mixed arterio-venous insufficiency can be hazardous to flap viability. Pure venous congestion with an adequate arterial supply remains the only indication for controlled leech application in the clinical setting. Leeches are commonly used in reconstructive surgery for the treatment of venous congestion in flaps. Documented mechanisms of action are (1) injection of the anticoagulant hirudin; (2) active suction of blood; and (3) passive oozing of the bite wound. Even though the benefits of leeches in venous congestion are widely accepted, little is known about their effects in mixed arterio-venous insufficiency. Thirty Wistar rats were randomized into three groups (n = 10 each), and 9 × 3 cm ischemic random skin flaps were elevated on the rat dorsum. Group 1 served as controls. In group 2, one leech was applied to the distal part of the flap and in group 3, three leeches were applied, one at a time, at 8 h intervals. Postoperatively, flap survival and perfusion were quantitated by daily planimetry and laser-Doppler imaging. The application of a single leech on postoperative day 7 did not lead to any statistically significant changes in total flap survival or tissue perfusion. Triple leech application, however, caused a significant decrease in flap survival of 6.6% at day 7 (3× leech versus control: 45.8% ± 8.5% versus 52.4% ± 8.5%, respectively) (P < 0.01) and a decline in flap perfusion of 13% (3× leech versus control: 71.3% ± 16.6% versus 84.3% ± 9.3%, respectively) (P < 0.01). The data demonstrate that the application of leeches in the setting of mixed arterio-venous insufficiency can be hazardous to flap viability. Pure venous congestion with an adequate arterial supply remains the only indication for controlled leech application in the clinical setting." @default.
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- W2172252233 date "2008-11-01" @default.
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- W2172252233 title "Mixed Arterio-Venous Insufficiency in Random Skin Flaps in the Rat: Is the Application of Medicinal Leeches Beneficial?" @default.
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- W2172252233 cites W1984361852 @default.
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- W2172252233 cites W1997747555 @default.
- W2172252233 cites W2002691262 @default.
- W2172252233 cites W2006021463 @default.
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- W2172252233 cites W2030474763 @default.
- W2172252233 cites W2033830042 @default.
- W2172252233 cites W2037457924 @default.
- W2172252233 cites W2038325114 @default.
- W2172252233 cites W2040956938 @default.
- W2172252233 cites W2061207360 @default.
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- W2172252233 cites W2064712462 @default.
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- W2172252233 cites W2075236438 @default.
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- W2172252233 cites W2085241123 @default.
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- W2172252233 doi "https://doi.org/10.1016/j.jss.2008.01.012" @default.
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