Iain S. Whitaker
1976- · Британец (валлиец) · Хирургия
Валлийский реконструктивный хирург, чей систематический обзор 2012 года по гирудотерапии в спасении микрохирургических лоскутов установил современную доказательную базу для применения пиявок после реконструкции свободным лоскутом.
Профиль
- Годы жизни
- 1976-
- Национальность
- British (Welsh)
- Эпоха
- Современность
- Основная область
- Хирургия
Аффилиации
- Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea
- Swansea University Medical School (Reconstructive Surgery & Regenerative Medicine Group)
- Royal College of Surgeons of Edinburgh (Fellow)
- British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS)
Ключевой вклад
- Lead author of the 2012 Microsurgery systematic review of 277 reported clinical cases of leech therapy (67 papers, 1966–2009): overall reported success 77.98% (216/277); 49.75% of cases required blood transfusion and 79.05% received antibiotics.
- Reported a four-year single-unit clinical series of medicinal leech use (2004–2008, N=35; Microsurgery, 2011): blood transfusion in 34% of cases and an infection rate of 20% (7/35), including five Aeromonas infections.
- Surveyed plastic surgery units in the UK and Ireland (Microsurgery, 2009): 24% used no antibiotic prophylaxis during leech therapy and 57% of those using antibiotics chose potentially inappropriate agents — a documented practice gap in infection prevention.
- Co-authored the 2011 systematic review of chemical and mechanical alternatives to leech therapy (Journal of Reconstructive Microsurgery): 25 studies appraised, 12 judged methodologically robust.
Важность для гирудотерапии
Iain Whitaker (Swansea, Wales) is among the most-cited contemporary contributors to the evidence base for medicinal leech use in microsurgery. His 2012 systematic review in Microsurgery searched PubMed, the Cochrane Library and the Centre for Reviews and Dissemination for 1966-2009, retrieved 461 articles and pooled 277 reported clinical cases from the 67 papers that met inclusion: the overall reported success rate was 77.98% (216/277), with blood transfusion required in 49.75% of cases, antibiotics given in 79.05% and concomitant anticoagulation in 54.29%. The review's lasting value is that it made a scattered case-series literature countable - and stated plainly that it is case-series evidence, not controlled-trial evidence. His group's earlier work documented the practical risks. A four-year single-unit series (July 2004-2008, N=35; Microsurgery, 2011) reported blood transfusion in 34% of cases and an infection rate of 20% (7/35), including five Aeromonas infections. A 2009 survey of plastic surgery units in the United Kingdom and Ireland found that 24% used no antibiotic prophylaxis during leech therapy and 57% of those who did chose potentially inappropriate agents. A 2011 systematic review of chemical and mechanical alternatives to leeches (25 studies appraised, 12 methodologically robust) completed the picture. Whitaker also publishes on the history of plastic surgery, including a 2007 Plastic and Reconstructive Surgery account of nasal reconstruction from the Edwin Smith Papyrus onward. ASH cites his reviews as the reference point for what the flap-salvage literature does and does not show.
Ключевые публикации
- The Birth of Plastic Surgery: The Story of Nasal Reconstruction from the Edwin Smith Papyrus to the Twenty-First Century · Plastic and Reconstructive Surgery (2007) · PMID 17572582
- Hirudo medicinalis: ancient origins of, and trends in the use of medicinal leeches throughout history · The British journal of oral & maxillofacial surgery (2004) · PMID 15013545
- The efficacy of medicinal leeches in plastic and reconstructive surgery: a systematic review of 277 reported clinical cases · Microsurgery (2012) · PMID 22407551
- Preventing infective complications following leech therapy: is practice keeping pace with current research? · Microsurgery (2009) · PMID 19399888
- Medicinal leeches and the microsurgeon: a four-year study, clinical series and risk benefit review · Microsurgery (2011) · PMID 21520265
Повлиявшие исследования
Соединения и области исследований, восходящие к вкладу этого деятеля:
Связанные деятели
Andreas Michalsen
1961- · Немец
Charité internist and professor of clinical naturopathy whose randomised trials at Kliniken Essen-Mitte tested medicinal leech therapy against topical diclofenac in osteoarthritis and epicondylitis.
Stefan Andereya
Немец
RWTH Aachen orthopaedic surgeon who led a patient-blinded randomised study of single versus repeated leech application against a sham 'artificial leech' in advanced knee osteoarthritis.
Romy Lauche
Немец (проживал в Австралии)
Integrative-medicine researcher whose 2014 systematic review and meta-analysis pooled the controlled trials of medical leech therapy for knee osteoarthritis.
Kosta Y. Mumcuoglu
Израильтянин (родился в Турции)
Hebrew University parasitologist whose published work covers Aeromonas control in medicinal leeches, recommendations for their use in reconstructive surgery, the scientometrics of hirudotherapy and leech microbiota.