American Society of Hirudotherapy

Negative Pressure Wound Therapy as an Artificial Leech to Save a Congestive Flap: Case Report

Case report published in Plast Reconstr Surg Glob Open (2022)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsArdila MP, Gomez-Ortega V · Plastic and reconstructive surgery. Global open, 2022

Abstract

Historically, patients with lower limb defects have represented a challenge for plastic surgeons because of their higher rate of complications. One of the main complications is venous congestion. Recently, various studies have suggested the use of negative pressure wound therapy as a salvage flap therapy, showing promising results. In this case report, we will outline the case of an elderly patient with different comorbidities in whom we used negative pressure wound therapy (as an artificial leech) to reverse venous congestion in the flap, with a satisfactory clinical outcome and without any more surgical procedures.

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

Publication typeCase ReportsJournal Article

Summary

Elderly patient with lower limb defect and venous congestion of flap successfully reversed with negative pressure wound therapy as 'artificial leech' alternative.

Why This Matters for Hirudotherapy

This case report describes an elderly patient with comorbidities whose venous-congested lower-limb flap was treated with negative pressure wound therapy used as an 'artificial leech,' reportedly reversing the congestion with a satisfactory outcome and no further surgery. For hirudotherapy it is relevant as a comparator concept: it frames NPWT explicitly against the role medicinal leeches play in relieving venous congestion of compromised flaps, underscoring why leech-style decongestion is clinically valued even as alternatives are explored. Caveat: this is a single-patient case report of a device-based alternative, not leech therapy and not a comparative trial, so it cannot establish that NPWT matches or replaces leeching, and no statistical conclusions can be drawn from one case.

Citation

Negative Pressure Wound Therapy as an Artificial Leech to Save a Congestive Flap: Case Report.

Ardila MP, Gomez-Ortega V · Plastic and reconstructive surgery. Global open, 2022

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.