American Society of Hirudotherapy

Successful microsurgical scalp replantation utilizing loupe magnification

Case report published in J Craniofac Surg (2022)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsChopan M et al. · The Journal of craniofacial surgery, 2022

Abstract

Total scalp avulsion is a rare injury that poses a unique reconstructive challenge. Microsurgical replantation is considered the first-line choice; yet anastomotic efforts may be strained to find suitable recipient and target vessels. Concomitant injuries may also delay or hinder operative intervention. These complex scenarios are difficult to navigate and necessitate multidisciplinary input to optimize outcomes. As such, the authors present an illustrative case report of a total scalp avulsion injury that underwent successful microsurgical replantation. This report highlights the novel use of loupe magnification in scalp replantation and reviews technical and clinical nuances that facilitate a favorable reconstruction.

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

Publication typeCase ReportsJournal Article
Indexed MeSH termsAmputation, TraumaticAnastomosis, SurgicalEye, ArtificialHumansMicrosurgeryScalp

Summary

Total scalp avulsion successfully replanted using loupe magnification (rather than microscope) with multidisciplinary input.

Why This Matters for Hirudotherapy

This case report describes successful replantation of a total scalp avulsion injury, highlighting the novel use of loupe magnification along with technical and clinical nuances and the importance of multidisciplinary input. The article addresses reconstructive surgery for traumatic scalp amputation. There is no mention of leeches, hirudotherapy, leech-derived compounds, or the leech secretome in the abstract. While medicinal leeches are sometimes used adjunctively in replantation surgery to manage venous congestion, this case report does not indicate such use. Therefore, this article has no direct relevance to ASH's domain of hirudotherapy or leech-based therapeutics.

Citation

Successful microsurgical scalp replantation utilizing loupe magnification.

Chopan M et al. · The Journal of craniofacial surgery, 2022

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

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