The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation

Pertea, Mihaela; Grosu, Oxana-Madalina; Timofte, Daniel; Velenciuc, Natalia; Ciobanu, Petru; Poroch, Vladimir; Lunca, Sorinel

Mihaela Pertea, Oxana-Madalina Grosu, Daniel Timofte, Natalia Velenciuc, Petru Ciobanu, Vladimir Poroch, Sorinel Lunca

The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation

Abstract:

Hirudotherapy is a complementary medical technique, apparently old, but, at the same time, an up to date technique, having a real efficiency in the treatment of venous congestion. Hirudin, present in the leeches’ saliva, was isolated by Markwardt in 1955. It acts by preventing the conversion of fibrinogen into fibrin, thus being a natural inhibitor of thrombin. The saliva of the leeches also contains over 100 proteins with various molecular weights, having an important anticoagulant, anti-inflammatory and analgesic effects, platelet function inhibitor, thrombin function regulator and antimicrobial. The purpose of the study is to confirm the effectiveness of the use of hirudotherapy in the treatment of venous congestion occurring post-replantation, as well as to emphasize some peculiarities of usage, duration and results in the case of using leeches in the treatment of venous congestion.The study included a group of 29 cases, 7 with ear amputations (three cases of complete amputation and four cases of incomplete amputation) and 22 cases of complete finger amputations. For the ears, in complete amputation, microsurgical replantation and arterial reconstruction were performed without being able to identify a vein for microsurgical anastomosis. Postoperatively, in all cases, once the signs of venous congestion had occurred, Medical Leech Therapy (MLT) was initiated. The application of medicinal leaches was initiated several hours postoperatively in those cases of distal digital amputation when no vascular anastomosis was performed, as well as in those where conventional treatment (local heat, elevated hand, general vasodilators and local heparin) was not effective.

Keywords:
ear; finger; leech; replantation; hirudotherapy

Issue: 2020, Volume 71, Issue 3

Pages: 350-357

Publication date: 2020/4/3

https://doi.org/10.37358/RC.20.3.8008

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
PERTEA, M., GROSU, O., TIMOFTE, D., VELENCIUC, N., CIOBANU, P., POROCH, V., LUNCA, S., The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation, Rev. Chim., 71(3), 2020, 350-357.

Vancouver
Pertea M, Grosu O, Timofte D, Velenciuc N, Ciobanu P, Poroch V, Lunca S. The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation. Rev. Chim.[internet]. 2020 Mar;71(3):350-357. Available from: https://doi.org/10.37358/RC.20.3.8008

APA 6th edition
Pertea, M., Grosu, O., Timofte, D., Velenciuc, N., Ciobanu, P., Poroch, V. & Lunca, S. (2020). The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation. Revista de Chimie, 71(3), 350-357. https://doi.org/10.37358/RC.20.3.8008

Harvard
Pertea, M., Grosu, O., Timofte, D., Velenciuc, N., Ciobanu, P., Poroch, V., Lunca, S. (2020). 'The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation', Revista de Chimie, 71(3), pp. 350-357. https://doi.org/10.37358/RC.20.3.8008

IEEE
M. Pertea, O. Grosu, D. Timofte, N. Velenciuc, P. Ciobanu, V. Poroch, S. Lunca, "The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation". Revista de Chimie, vol. 71, no. 3, pp. 350-357, 2020. [online]. https://doi.org/10.37358/RC.20.3.8008

Text
Mihaela Pertea, Oxana-Madalina Grosu, Daniel Timofte, Natalia Velenciuc, Petru Ciobanu, Vladimir Poroch, Sorinel Lunca,
The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation,
Revista de Chimie,
Volume 71, Issue 3,
2020,
Pages 350-357,
ISSN 2668-8212,
https://doi.org/10.37358/RC.20.3.8008.
(https://revistadechimie.ro/Articles.asp?ID=8008)
Keywords: ear; finger; leech; replantation; hirudotherapy

RIS
TY - JOUR
T1 - The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation
A1 - Pertea, Mihaela
A2 - Grosu, Oxana-Madalina
A3 - Timofte, Daniel
A4 - Velenciuc, Natalia
A5 - Ciobanu, Petru
A6 - Poroch, Vladimir
A7 - Lunca, Sorinel
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2020
VL - 71
IS - 3
SP - 350
EP - 357
UR - https://doi.org/10.37358/RC.20.3.8008
KW - ear
KW - finger
KW - leech
KW - replantation
KW - hirudotherapy
ER -

BibTex
@article{RevCh2020P350,
author = {Pertea Mihaela and Grosu Oxana-Madalina and Timofte Daniel and Velenciuc Natalia and Ciobanu Petru and Poroch Vladimir and Lunca Sorinel},
title = {The Efficiency of Hirudotherapy in Venous Congestion Treatment atfer Replantation},
journal = {Revista de Chimie},
volume = {71},
number = {3},
pages = {350-357},
year = {2020},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.20.3.8008},
url = {https://revistadechimie.ro/Articles.asp?ID=8008}
}

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