American Society of Hirudotherapy

A case report: hirudotherapy as a treatment modality in the microsurgery

Case report published in Turkiye parazitolojii dergisi (2013)

Last Updated: November 1, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical LiteratureArusan S et al. · Turkiye parazitolojii dergisi, 2013

Abstract

Medicinal leeches are known to inject more than 100 bioactive substances in the tissue whilst sucking blood. They are being successfully used for the treatment of diseases and symptoms, especially in plastic surgery. We report the case of a 7-year old boy, who had lost the first phalanx of the middle finger of the right hand after an accident. The detached digit was replanted in the plastic surgery clinic, and treated within a period of 15 days with medicinal leeches (Hirudo medicinalis). Soon after the initiation of the hirudotherapy, the revascularisation of the re-attached phalanx, as well as the resolving of tissue oedema and pain was observed. Turkish physicians should be aware of the advantages of hirudotherapy in plastic and reconstructive surgery, especially in cases of detached digits and flaps.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeCase ReportsJournal Article
Indexed MeSH termsAnimalsChildFingersHirudo medicinalisHumansLeechingMaleMicrosurgeryPlastic Surgery ProceduresReplantationSurgery, PlasticTurkey

Summary

In a 7-year-old boy whose replanted middle-finger phalanx was treated with Hirudo medicinalis leeches for 15 days, hirudotherapy was followed by revascularization of the digit and resolution of tissue oedema and pain.

Why This Matters for Hirudotherapy

This case report describes the use of medicinal leech therapy (Hirudo medicinalis) in a 7-year-old boy following replantation of a detached finger phalanx, with reported revascularization and resolution of tissue edema and pain over a 15-day treatment period. The report describes the clinical application of leech salivary bioactive substances, illustrating their role in supporting tissue survival after microsurgical replantation. However, as a single case report, it provides only anecdotal observational evidence without quantitative outcome metrics, and cannot establish treatment efficacy, optimal protocols, or generalizability to broader patient populations.

Citation

Reference (Vancouver style)

Arusan S, Bayar B, Gödekmerdan A, Sağlam N. [A case report: hirudotherapy as a treatment modality in the microsurgery]. Turkiye Parazitol Derg. 2013;37(2):154-156. doi:10.5152/tpd.2013.34. PMID: 23955917

Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.

Added to ASH library: March 18, 2026 · Site last updated: November 1, 2026

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.