Hirudotherapy in Wound Healing

Author(s):  
Harikrishna K. R. Nair ◽  
Nazni Wasi Ahmad ◽  
Han Lim Lee ◽  
Norazah Ahmad ◽  
Suhana Othamn ◽  
...  

Leeches are hermaphrodite, bloodsucking parasitic worms usually found in places with fresh water. Leech therapy existed 3000 years, and it is being used at a different scope. Several species of leeches have been used in medicine, and the most common species used is Hirudo medicinalis. Leeches suck the excess blood, reduce the swelling in the tissues, and promote healing by allowing fresh oxygenated blood to reach the area until normal circulation can be restored. Pain relief from leech therapy is rapid, effective, and long-lasting in many conditions. The aim of this study was to evaluate the efficacy and duration of healing utilizing sterile medicinal leeches, Hirudinaria manillensis, in the management of pain and wound healing. Leech was taken out from its sterile tube by using a pair of non-tooth sterile plastic forceps and gloved hands. Each leech was left in place for as long as it was feeding. Leeches were removed only after they became detached from the patient. The specimen jars containing the used leeches were sealed in either a biohazard bag or in a small yellow clinical waste bin liner securely fastened with a cable tie. The leech was killed by using 70% alcohol prior to disposal into a yellow hazard bin, which undergoes incineration. All 3 patients had improvements in their condition, especially in terms of reduction in the pain and improvement in their sense of balance. All the wounds healed well. Therefore, leech therapy is effective in reducing pain and increasing perfusion to allow the wounds to heal quickly. However, a more robust trial is needed to show significance as the sample size is small.

Author(s):  
Prasadshakti G. Gannur

As mentioned in Ayurveda, Rakta itself is life for human being. If it get vitiated (impure) by means of unhealthy food habits and seasonal change is going to induce many disease. There is a unique worm - Leech which is used therapeutically to treat certain diseases induced by impure blood. Medicinal leeches are used for therapeutic purpose; these will suck only impure blood and relieve the symptoms. While sucking leaches leave saliva into the blood stream, which contain many medicinal properties. Out of which Hirudin is the main content which is having very effective anti-coagulant and analgesic property, because of this analgesic property, the process of sucking is painless. Leaches are mainly used in skin diseases as acne, Kusta, Visarpa, recurrent abscess along with these certain diseases which involve impairment of the blood circulation such as varicose veins deep vein thrombosis non healing ulcers and necrosis are also get benefited by leech therapy which improve the blood circulation by stimulating blood capillaries. Hence in this paper the uses of leech therapy are mentioned for the society to get benefited.


2021 ◽  
pp. 089719002199368
Author(s):  
Nicole M. Palm ◽  
Jill C. Wesolowski ◽  
Janet Y. Wu ◽  
Pavithra Srinivas

Medicinal leech therapy promotes vascular flow and can be used to salvage grafts. Medicinal leeches have a symbiotic relationship with Aeromonas species and can therefore present a risk of bacterial transmission to patients. Antimicrobial prophylaxis is warranted for the duration of leech therapy, however, an institutional evaluation of 40 patients receiving medicinal leech therapy demonstrated poor adherence with recommendations. An electronic medical record order panel for antimicrobial prophylaxis with medicinal leech therapy was implemented, leading to a subsequent improvement in adherence to prophylaxis use, including significant increases in the ordering of antibiotics and the appropriate timing of initiation in the subsequent 10 patients receiving medicinal leech therapy after panel implementation. Aeromonas infections were rare before and after panel implementation, and developed only in the patient subset with non-optimized prophylaxis.


2020 ◽  
Vol 21 (5) ◽  
Author(s):  
NADEZHDA Yu. KIRILLOVA ◽  
Alexander Kirillov ◽  
ALEXANDER B. RUCHIN ◽  
MAXIM V. TRUKHACHEV

Abstract. Kirillova NYu, Kirillov AA, Ruchin AB, Trukhachev MV. 2020. Helminth fauna of Microtus cf. arvalis (Rodentia, Cricetidae) in Russia and adjacent countries. Biodiversitas 21: 1961-1979. The helminth fauna of voles of the Microtus cf. arvalis group is reviewed focusing on the Russian fauna and that of adjacent territories. In total, 61 helminth species have been recorded in these rodents: Trematoda-14, Cestoda-21, Nematoda-25, Acanthocephala-1. The diversity of the helminth community of the common vole is due to the wide species range and abundance of this rodent. M. arvalis is the final host for most of the parasites recorded from this host species. Only 10 cestodes and trematodes species use common voles as intermediate and paratenic hosts. The core of this voles’ helminth fauna is formed by common species that parasitize many different rodent species. The helminth fauna of the common vole has been most intensively studied in Russia, where 45 species of parasitic worms have been recorded in rodents. The similarity of the helminth fauna of the common vole from different study regions is determined by both the geographical proximity of the research areas and the broad distribution of most of the M. cf. arvalis helminth species.


Author(s):  
Sinjid Ramakrishnan ◽  
Madan Bhandari ◽  
Gopikrishna B. J. ◽  
Sahanasheela K. R.

<p class="abstract">Trauma induced auricular partial defect very common. Due to the aesthetic value, proper reconstruction has to be done preserving the symmetry of bilateral auricles. The reconstruction of auricle is difficult due to the intricate anatomy of the auricle, limited and inconsistent vascularization and the high ratio of cartilage to skin. Historically, Susruta was the first author to describe about auricular repair. In Ayurveda, medicinal leech therapy is praised for it’s usefulness for the healing of ulcers. In this case report, a male of 30 years with a trauma induced postauricular infected ulcer was successfully treated with the application of medicinal leeches for multiple sittings.</p><p class="abstract"> </p>


2012 ◽  
Vol 3 (1) ◽  
pp. 159 ◽  
Author(s):  
Abbas Amirjamshidi ◽  
Mohsen Nouri ◽  
Kourosh Karimi Yarandi ◽  
Farhad Etezadi
Keyword(s):  

2021 ◽  
Vol 11 ◽  
Author(s):  
Mengxiong Sun ◽  
Dongqing Zuo ◽  
Hongsheng Wang ◽  
Jiakang Sheng ◽  
Xiaojun Ma ◽  
...  

ObjectiveThis study intends to retrospectively analyze the data of patients with sacral metastases in our center, and analyze the treatment methods and therapeutic effects of sacral metastases.Methods73 patients with sacral metastases treated in our hospital from June 2013 to June 2019 were retrospectively analyzed. There were 54 cases of neurological symptoms, 42 cases of sacroiliac joint instability, 24 cases of lower limb muscle weakness and 19 cases of abnormal urination and defecation. Four patients with tumors below S3 underwent complete tumor resection, 23 patients with tumors above S3 and without sacroiliac joint instability underwent tumor curettage and nerve root lysis, 34 patients with tumors above S3 and sacroiliac joint instability underwent tumor curettage, nerve root release and screw rod reconstruction. 12 patients with multiple metastases underwent percutaneous radiofrequency ablation and sacroplasty. VAS was used to evaluate the preoperative and postoperative pain scores, and the postoperative pain relief, neurological function, bowel function, wound healing and complications were evaluated.ResultsThere were no perioperative death, 8 cases of poor wound healing, 5 cases of nerve injury, postoperative sensory and motor loss of lower limbs. Cerebrospinal fluid (CSF) leak in 7 cases. The patients were followed up for 6-25 months (mean 12 months). The VAS scores of patients with pain symptoms were 7 points before operation and 1.44 points after operation, In 19 patients with abnormal urination and defecation function, 12 patients recovered to normal 3-6 months after operation, 5 cases had no significant change compared with preoperative, and 2 cases had aggravated symptoms; 17 cases of patients with lower limb muscle strength were significantly recovered after operation, and the average muscle strength was increased by 2 grades; 30 cases of patients with unstable sacroiliac joint got internal fixation had significantly pain relief. Pain symptoms of 9 patients were significantly relieved after percutaneous radiofrequency ablation.Conclusionthe operation of sacral metastases mainly adopts a relatively conservative surgical method, which can effectively improve the quality of life of patients with sacral metastases by retaining the nerve function and relieving the pain of patients, combining with radiofrequency ablation, sacroplasty and targeted drugs.


Cureus ◽  
2018 ◽  
Author(s):  
Chellappa Vijayakumar ◽  
Ravi Prabhu ◽  
M Senthil Velan ◽  
Vallinayagam Muthu Krishnan ◽  
Raja Kalaiarasi ◽  
...  

2020 ◽  
Vol 16 (2) ◽  
pp. 145-151
Author(s):  
Arezoo Shayan ◽  
Hadis Sourinezhad ◽  
Fariba Barzegar ◽  
Hassan Ahmadinia ◽  
Zahra Masoumi ◽  
...  

Background: Episiotomy is one of the most common surgical procedures in the world that is associated with perineal pain and can be exposed to infection, or might be healed with delay. Objective: The aim of this study was to investigate the effects of honey-olive oil combination on episiotomy wound healing and pain relief in primiparous women. Methods: This single-blind, parallel randomized clinical trial (IRCT20120215009014N208) was conducted on 80 primiparous women. They were allocated randomly to each of the groups through random allocation rule: 40 in honey-olive oil group and 40 in the control group. Every 12 hours and for 14 days, the treatment group used about 1 inch of the cream on the wound area. Pain intensity and wound healing were measured by REEDA Scale and Visual Analogue Scale on days 7, 10, and 14 in both groups. The statistical analyst was not informed about the allocation of the groups. A significant level of 0.05 was considered. Results: There was a significant difference between healing score and pain intensity between the two groups on 7th, 10th and 14th postpartum days (p <0.05). Wound healing occurred much faster (Scores on days 7,10, and 14 were 11.25±2.13, 7.47±1.96 and 4.95±1.53 in the control group and 4.45±1.25, 2.32±.69 and 10±.30 in the intervention group, p <0.05). Moreover, pain intensity was significantly relieved in those who used Honey and olive oil cream (the scores were 5.6750±1.43, 3.3500±1.52, 2.2250±1.34 in the control group and 1.9750±1.52, .2250±.57, .0250±.15 in the intervention group, p<0.05). Conclusion: Using honey and olive oil combination improves episiotomy wound healing and also relieves its’ associated pain.


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