American Society of Hirudotherapy

Sarah M.

Venous Congestion in DIEP Flap

52 · Boston, Massachusetts202510Medical records reviewed
Post-Surgical Flap SalvageSurgical Recovery

I never thought I'd voluntarily let leeches feed on me, but when the choice was between that and losing my reconstruction, the decision became very clear very quickly.

Sarah M.

Sarah M., a 52-year-old marketing executive from Boston, shares her experience with medicinal leech therapy following complications from breast reconstruction surgery. Her story illustrates both the challenges of post-surgical complications and the potential of leech therapy as a salvage treatment.

Background: The Cancer Diagnosis

In March 2024, Sarah discovered a lump — biopsy revealed invasive ductal carcinoma, Stage IIA (2.3 cm, ER-positive, HER2-negative). She chose bilateral mastectomy with immediate DIEP flap reconstruction, followed by chemotherapy and hormonal therapy.

I was overwhelmed with information. Given my family history and the lymph node involvement, I chose bilateral mastectomy with immediate reconstruction.

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Key Outcomes

Flap salvaged — avoided additional surgery
FDA-cleared indication for medicinal leeches
Normal color and blood flow restored by day 5
Excellent cosmetic result at 3 months
Full range of motion restored
No long-term complications from leech therapy

Medical Perspective

Treating Physician

Dr. Jennifer Walsh, MD

Plastic and Reconstructive Surgery

Sarah's case represents a typical successful application of medicinal leech therapy for venous congestion in a DIEP flap. Key success factors: early recognition within 24 hours, prompt initiation, adequate arterial inflow, proper antibiotic prophylaxis and transfusion management. Leech therapy is our first-line treatment for venous congestion when surgical revision isn't immediately available.

Medical Disclaimer

Individual results vary. These stories represent personal experiences and are not guarantees of outcome. Leech therapy requires proper medical supervision. Consult a qualified healthcare provider before starting any treatment.

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.