American Society of Hirudotherapy

Microsurgical replantation of traumatic amputated lip

Case report published in Ugeskr Laeger (2020)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsMakki A et al. · Ugeskrift for laeger, 2020

Abstract

This is a case report of two patients with traumatic amputated lip due to respectively human bite and bicycle head-on-car collision. Both patients were successfully treated by microsurgical replantation within 24 hours and with post-operative leech treatment. Furthermore, a MEDLINE/PubMed search was performed for all scientific English articles of lip amputation and replantation using microsurgery. We want to address the importance of preserving amputated parts and the necessity of 24-hour access to plastic surgery and microsurgery in trauma if needed.

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

Publication typeCase ReportsJournal Article
Indexed MeSH termsAmputation, TraumaticHumansLipMicrosurgeryPlastic Surgery ProceduresReplantation

Summary

Two cases of traumatic amputated-lip replantation within 24 hours using microsurgery and postoperative leech treatment. Emphasizes 24-hour access to microsurgery in trauma centers.

Why This Matters for Hirudotherapy

This case report describes two patients with traumatic amputated lip, resulting from a human bite and a bicycle collision, who were successfully treated with microsurgical replantation within 24 hours followed by post-operative leech treatment. The explicit inclusion of leech treatment in the post-operative management of these patients demonstrates a documented clinical application of hirudotherapy within reconstructive surgery, which is directly relevant to ASH's domain. As a case report of only two patients, it provides limited clinical evidence, and the abstract does not specify the exact rationale, protocol, duration, or outcomes specifically attributable to the leech therapy versus the surgical intervention itself.

Citation

Microsurgical replantation of traumatic amputated lip.

Makki A et al. · Ugeskrift for laeger, 2020

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