Уважаемый Александр!
По пиявкам:
Rados C.
Beyond bloodletting: FDA gives leeches a medical makeover.
FDA Consum. 2004 Sep-Oct;38(5):9.
в пласт. хирургии:
Br J Plast Surg. 2004 Jun;57(4):348-53.
Hirudo Medicinalis and the plastic surgeon.
Whitaker IS, Izadi D, Oliver DW, Monteath G, Butler PE.
Department of Anatomy, University of Cambridge, Downing Street, Cambridge CB2 3DY, UK.
Medicinal leech therapy is an ancient craft that dates back to ancient Egypt and the beginnings of civilisation. The popularity of Hirudo Medicinalis has varied throughout history, reaching such a peak in Europe in the early 19th century that supplies were exhausted. During the latter half of the 19th century, their use fell out of favour, as they did not fit in with the emerging concepts of modern medicine. Leeches have enjoyed a renaissance in the world of reconstructive microsurgery during recent years, and their first reported use in alleviating venous engorgement following flap surgery was reported in this journal [M Derganc, F Zdravic, Venous congestion of flaps treated by application of leeches, Br J Plast Surg 13 (1960) 187]. Contemporary plastic and reconstructive surgeons in units throughout the United Kingdom and Ireland continue to use leeches to aid salvage of failing flaps. 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 average number of patients requiring leech therapy was 10 cases per unit per year. Almost all units use antibiotic prophylaxis, but the type of antibiotic and combination used is variable. We outline current practice and suggest a protocol for the use of leeches. Whilst the use of leeches is widespread, the plastic surgery community has progressed little in defining indications for their use or in achieving an accepted protocol for their application in units throughout the UK and Ireland.
При пришивании пипки:
Urology. 2004 May;63(5):981-3.
Leech therapy in penile replantation: a case of recurrent penile self-amputation.
Mineo M, Jolley T, Rodriguez G.
Division of Urology, Department of Surgery, University of Texas Medical Branch at Galveston, Galveston, Texas 77550-0540, USA.
Penile amputation is a rare urologic trauma for which immediate surgical replantation is indicated. Microsurgical techniques can reduce skin and graft loss complications; nonetheless, such complications are still highly prevalent. 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 superficial debridement. At follow-up the patient had glans re-epithelialization with normal voiding, sensation, and erections. To our knowledge, this is the first reported case of nonmicrosurgical penile replantation with leech therapy.
|