American Society of Hirudotherapy

Indications for replantation and revascularization in the hand

Review published in Hand Clin (2019)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Narrative reviewClinical TrialsPet MA et al. · Hand clinics, 2019

Abstract

The indications for upper extremity replantation are fluid, and it has long been appreciated that they change with time. Traditional strong indications for replantation include hand, thumb, or multiple digit amputation in adults, and almost any amputation in a child. Patients often desire replantation of single nonthumb digits based on aesthetic preference and personal/cultural values. Replantation in these situations is acceptable and rewarding, but individual consideration of patient, injury, and circumstantial factors is critical to avoid patient morbidity and unsatisfactory outcomes.

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

Publication typeJournal ArticleReview
Indexed MeSH termsAge FactorsAmputation, TraumaticComorbidityContraindications, ProcedureCultureEmploymentHand InjuriesHealth Services AccessibilityHumansMicrosurgeryOccupationsPatient Preference

Summary

Comprehensive review of evolving indications for upper-extremity replantation including traditional strong indications and patient-preference considerations.

Why This Matters for Hirudotherapy

This article discusses indications for upper extremity replantation, noting traditional strong indications (hand, thumb, multiple digit amputation in adults; nearly any amputation in children) and that patient preference and cultural values can influence decisions to replant single nonthumb digits. The abstract makes no mention of leeches, hirudotherapy, or the leech secretome, and offers no data on adjunctive therapies or outcomes. There is no defensible connection to ASH's domain based solely on the abstract provided; the article's value is limited to general background on factors influencing replantation decisions.

Citation

Indications for replantation and revascularization in the hand.

Pet MA et al. · Hand clinics, 2019

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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