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

Case series published in Microsurgery (2004)

Последнее обновление: June 18, 2026Рецензент: ASH Editorial Board

Research article — evidence reviewArticle reference

Evidence: Case reportКлинические исследованияDuroure 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

Резюме

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.

Почему это важно для гирудотерапии

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.

Цитирование

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

Duroure F et al. · Microsurgery, 2004

DOI

Связанный клинический контекст

Узнайте, как это исследование связано с клинической практикой

Clinical Evidence Clinical Applications Microsurgery Outcomes Surgery Safety Protocols Aeromonas Management Antimicrobial Peptides Anticoagulation Compounds Hemostasis Direct Thrombin Inhibitors

Отказ от ответственности — научно-образовательная информация

Информация на данной странице предоставлена исключительно в образовательных и информационных целях и не является медицинской консультацией, диагнозом или рекомендациями по лечению. Резюме клинических данных отражают опубликованную рецензируемую литературу и не подразумевают терапевтическую эффективность за пределами показаний, одобренных FDA.

Разрешение FDA 510(k) для медицинских пиявок ограничено конкретными показаниями. Исследовательские и офф-лейбл применения обозначены соответствующим образом. Перед клиническим использованием практикующим врачам следует руководствоваться действующими рекомендациями FDA, локальными протоколами и применимыми нормативно-правовыми актами штата.

ASH поддерживает строгую доказательную оценку всех применений гирудотерапии посредством контролируемых клинических исследований и рецензируемых публикаций.

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