Американское общество гирудотерапии

Leech therapy in cutaneous surgery and disease

Review and case series published in J Drugs Dermatol (2010)

Последнее обновление: June 18, 2026Рецензент: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportКлинические исследованияБезопасность и инфекционный контрольMamelak AJ et al. · Journal of drugs in dermatology, 2010

Abstract

BACKGROUND: Over the ages, the use of leeches in medicine has evolved from haphazard bloodletting to a well-understood physiologic process with defined, rational applications. OBJECTIVE: The authors describe the current role of leech therapy in cutaneous surgery and medicine. METHODS: Case series and review of the literature. RESULTS: Leech saliva contains anticoagulative, anti-aggregative and vasodilatory components. Combined with the annelid's mechanical ability to extract blood, leeches can contribute to patients' health with minimal risks. CONCLUSION: Leeches should be considered as novel therapies for disorders of coagulation and venous congestion. Implementation of leech treatment should be tempered with the potential adverse effects, including Aeromonas infection and a drop in hematocrit that might require a blood transfusion.

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

Publication typeCase ReportsJournal Article
Indexed MeSH termsAnimalsChild, PreschoolFemaleHumansLeechingMaleMiddle AgedMohs SurgeryPurpura FulminansSkin DiseasesSurgical Flaps

Резюме

Case series and literature review of leech therapy in cutaneous surgery and dermatologic disease. Documents anticoagulative, anti-aggregative, and vasodilatory components of leech saliva alongside Aeromonas/transfusion risks.

Почему это важно для гирудотерапии

This article presents case reports and a literature review describing the current role of leech therapy in cutaneous surgery and medicine, highlighting that leech saliva contains anticoagulative, anti-aggregative, and vasodilatory components that, combined with mechanical blood extraction, can benefit patients with minimal risks. The authors conclude that leeches should be considered for disorders of coagulation and venous congestion, while cautioning about potential Aeromonas infection and hematocrit drops requiring transfusion. This is directly relevant to ASH's domain as it addresses clinical hirudotherapy applications and safety. However, as a case series and literature review, it lacks controlled trial data, and the abstract does not specify the number of cases or provide quantitative outcomes.

Цитирование

Leech therapy in cutaneous surgery and disease.

Mamelak AJ et al. · Journal of drugs in dermatology, 2010

Связанный клинический контекст

Добавлено в библиотеку ASH: May 27, 2026 · Последнее обновление сайта: June 18, 2026

Этот сайт предоставляет образовательную информацию и не является медицинской консультацией, диагнозом или рекомендацией по лечению. Гирудотерапия сопряжена с клинически значимыми рисками и должна проводиться только квалифицированными клиницистами в рамках институционально утверждённых протоколов. Разрешение FDA 510(k) для медицинских пиявок ограничено определёнными показаниями; обсуждения исследовательского и нелицензионного применения отмечены соответствующим образом. Для индивидуальных медицинских рекомендаций обратитесь к квалифицированному медицинскому специалисту.