Microsurgical lip replantation: evaluation of functional and aesthetic results of three cases

Case series published in Microsurgery (2004)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board

Research article — evidence reviewArticle reference

Evidence: Case reportEnsayos clínicosDuroure F et al. · Microsurgery, 2004

Abstract

Lip amputations are rare, and microsurgical replantation must be systematically tried to restore form and function in one step. The authors present a series of three cases. Revascularization of the amputated segment was obtained by arterial anastomosis with the corresponding labial coronary artery. No venous anastomosis was carried out, because no vein could be identified. Venous drainage was obtained by inducing bleeding and by postoperative application of leeches for 6 days. Anticoagulant therapy and antibiotherapy were used for 10 days. With this approach, two lip amputations were completely saved, and a third amputation only suffered partial necrosis. Aesthetic and functional results were evaluated as being good, with reestablishment of labial continence and recovery of protective sensitivity.

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

Publication typeCase ReportsJournal Article

Indexed MeSH termsAdultAnimalsBeautyBites and StingsDogsFemaleHumansLipMicrosurgeryMiddle AgedRecovery of FunctionReplantation

Resumen

Three lip replantations with arterial-only anastomosis; venous drainage achieved by induced bleeding and postoperative leech application for 6 days, plus 10 days of anticoagulant and antibiotic therapy. Two amputations fully saved, one with partial necrosis; good aesthetic and functional outcomes.

Por qué esto importa para la hirudoterapia

This case report series describes three microsurgical lip replantations in which no venous anastomosis was possible; venous drainage was instead achieved by inducing bleeding and applying leeches postoperatively for six days, alongside anticoagulant and antibiotic therapy. Two amputations were fully saved and a third suffered only partial necrosis, with good aesthetic and functional outcomes. The article is directly relevant to hirudotherapy, illustrating leech use for managing venous congestion when surgical venous repair is unfeasible. However, as a report of only three cases, it provides limited generalizable evidence and lacks a control group.

Citación

Microsurgical lip replantation: evaluation of functional and aesthetic results of three cases.

Duroure F et al. · Microsurgery, 2004

DOI

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Aviso legal — investigación y educación

La información en esta página se proporciona únicamente con fines educativos e informativos y no constituye asesoramiento médico, diagnóstico o recomendaciones de tratamiento. Los resúmenes de evidencia clínica reflejan la literatura publicada revisada por pares y no implican eficacia terapéutica fuera de los contextos autorizados por la FDA.

La autorización FDA 510(k) para sanguijuelas medicinales se limita a indicaciones específicas. Las aplicaciones en investigación y fuera de indicación se identifican como tales. Los profesionales deben consultar las directrices vigentes de la FDA, los protocolos institucionales y las normativas estatales aplicables antes del uso clínico.

ASH apoya la evaluación rigurosa basada en evidencia de todas las aplicaciones de hirudoterapia mediante ensayos clínicos controlados e investigación revisada por pares.

Añadido a la biblioteca ASH: May 26, 2026 · Última actualización del sitio: June 18, 2026