From bloodthirsty parasites to surgical superstars: The humble leech, a suck-cess story in surgical history
Historical review published in J Perioper Pract (2024)
Abstract
This historical review delves into the extensive and intriguing history of leeches in surgery. The utilisation of leeches in medical practice dates back thousands of years, from ancient civilisations to the modern era. The therapeutic properties of leeches have led to their persistent presence in surgical procedures. The 'Age of Leeches' during the 18th and 19th centuries witnessed a heightened utilisation of leeches in surgical treatment, given their perceived ability to promote postoperative wound healing and alleviate blood congestion. However, advancements in medical knowledge subsequently diminished their popularity as emerging technologies overshadowed them. Nevertheless, recent years have witnessed a resurgence in the use of leeches in reconstructive surgery, driven by both a greater understanding of their biological mechanisms and their potential source of therapeutic agents. This historical review provides a comprehensive exploration of the historical timeline, societal perceptions and scientific advancements surrounding the use of leeches in surgical practice.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Summary
This historical review traces the use of leeches in surgery from ancient civilisations through the 18th-and-19th-century 'Age of Leeches', when they were perceived to promote postoperative wound healing, their subsequent decline, and their recent resurgence in reconstructive surgery.
Why This Matters for Hirudotherapy
This historical review comprehensively traces the use of leeches in surgical practice from ancient civilizations through the modern era. The authors detail the 'Age of Leeches' in the 18th and 19th centuries, where leeches were widely utilized to promote wound healing and relieve blood congestion, followed by a decline in popularity due to medical advancements. The paper highlights the modern resurgence of leeching in reconstructive surgery, driven by a better scientific understanding of their biological mechanisms and therapeutic potential. For the American Society of Hirudotherapy, this article provides an excellent overview of the enduring medical relevance of leeches, perfectly bridging historical practice with contemporary clinical applications in surgery.
Citation
Reference (Vancouver style)
Bates A. From bloodthirsty parasites to surgical superstars: The humble leech, a suck-cess story in surgical history. J Perioper Pract. 2025;35(7-8):309-314. doi:10.1177/17504589241237363. PMID: 38606918
Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.
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