American Society of Hirudotherapy

Updates in Wound Management and Dressings

Research article published in The Veterinary clinics of North America. Small animal practice (2022)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Narrative reviewGenomics & ProteomicsClinical TrialsBuote N · The Veterinary clinics of North America. Small animal practice, 2022

Abstract

Wound healing is a complex process that traverses 4 main phases which overlap and are interdependent. Many patient-related factors can impede healing by disrupting the normal pathways from one phase to the next. Wound-related factors also determine the best techniques or dressings for each patient. Species differences between cats and dogs must be understood for the successful treatment of cats. New techniques such as fish skin graft application, photobiomodulation, and bioelectric dressings hold promise as an addition to our armamentarium against wounds. NPWT, hyperbaric oxygen, regenerative medicine techniques, and low-level laser therapies yield mixed results and large-scale controlled studies are needed.

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

Publication typeJournal ArticleReview
Indexed MeSH termsAnimalsBandagesCatsDogsSkin TransplantationWound Healing

Summary

Wound healing is a complex process that traverses 4 main phases which overlap and are interdependent. Many patient-related factors can impede healing by disrupting the normal pathways from one phase to the next.

Why This Matters for Hirudotherapy

This review examines advances in wound management and dressings for veterinary patients, primarily cats and dogs, covering wound healing phases, patient- and wound-related factors influencing treatment decisions, and emerging modalities such as fish skin grafts, photobiomodulation, bioelectric dressings, negative pressure wound therapy, hyperbaric oxygen, regenerative medicine, and low-level laser therapies. The article's discussion of wound healing and skin transplantation intersects conceptually with hirudotherapy, as both fields address challenges in tissue repair and graft viability within compromised wound environments. However, the abstract contains no reference to leeches, leech therapy, or any leech-derived secretome components, and the veterinary companion-animal scope falls largely outside ASH's primary domain. The abstract itself notes that several discussed techniques yield mixed results and that large-scale controlled studies are needed, indicating limited definitive outcome data.

Citation

Updates in Wound Management and Dressings.

Buote N · The Veterinary clinics of North America. Small animal practice, 2022

Added to ASH library: March 18, 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.