Immediate use of medicinal leeches to salvage venous congested reverse pedicled neurocutaneous flaps.
Reverse pedicled neurocutaneous flaps have recently become popular for reconstructing soft tissue defects of the lower extremity. Venous congestion is a relatively common problem in these flaps in diabetic patients and those with electric burns, and this may cause partial or complete loss if capillary perfusion is not re-established urgently. We describe our experience of 13 neurocutaneous flaps, of which five developed venous congestion and were treated successfully with leeches placed immediately.
Gideroglu
Kaan
K
Department of Plastic and Reconstructive Surgery, Kartal Dr. Lütfü Kirdar Education and Research Hospital, Istanbul, Turkey.
Yildirim
Serkan
S
Akan
Mithat
M
Akoz
Tayfun
T
D000328:Adult; D000818:Animals; D005260:Female; D006085:Graft Survival / Q000502:physiology*; D006801:Humans; D015994:Incidence; D007865:Leeches; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D013524:Surgical Flaps / Q000098:blood supply* / Q000473:pathology*; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000628:therapy*