Ultrasound localization of a tunneled leech beneath a microvascular scalp reconstruction : A case report
Copyright © 2013 Wiley Periodicals, Inc..
Medicinal leech therapy is a common adjuvant modality used to treat venous congestion following threatened microvascular anastomosis. Migration and tunneling of a leech beneath a surgical reconstruction is a rare event that is seldom mentioned in the literature and worthy of further discussion. We present a rectus abdominus myocutaneous free tissue transfer that was used to cover a large alloplastic cranioplasty following resection of a previously radiated skull base malignant meningioma. The flap became congested postoperatively and required leech therapy after surgical salvage. Three days after flap salvage, the subject was once again brought back to the operating room for surgical exploration when a leech was witnessed to migrate beneath the threatened free flap. Duplex ultrasound was used intra-operatively to localize the leech 12 cm from its bite and assist with its successful removal. Tunneling of the leech beneath the flap is a rare complication, and localization underneath a myofascial or myocutaneous flap may be difficult. Duplex ultrasound is a simple and reliable method to localize the leech and allow for its removal through a minimal access incision.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2013 |
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| Erschienen: |
2013 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
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| Enthalten in: |
Microsurgery - 33(2013), 7 vom: 21. Okt., Seite 572-4 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Martin, Garry [VerfasserIn] |
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| Anmerkungen: |
Date Completed 05.11.2015 Date Revised 07.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/micr.22163 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM230500242 |
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| 245 | 1 | 0 | |a Ultrasound localization of a tunneled leech beneath a microvascular scalp reconstruction |b A case report |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2013 Wiley Periodicals, Inc. | ||
| 520 | |a Medicinal leech therapy is a common adjuvant modality used to treat venous congestion following threatened microvascular anastomosis. Migration and tunneling of a leech beneath a surgical reconstruction is a rare event that is seldom mentioned in the literature and worthy of further discussion. We present a rectus abdominus myocutaneous free tissue transfer that was used to cover a large alloplastic cranioplasty following resection of a previously radiated skull base malignant meningioma. The flap became congested postoperatively and required leech therapy after surgical salvage. Three days after flap salvage, the subject was once again brought back to the operating room for surgical exploration when a leech was witnessed to migrate beneath the threatened free flap. Duplex ultrasound was used intra-operatively to localize the leech 12 cm from its bite and assist with its successful removal. Tunneling of the leech beneath the flap is a rare complication, and localization underneath a myofascial or myocutaneous flap may be difficult. Duplex ultrasound is a simple and reliable method to localize the leech and allow for its removal through a minimal access incision | ||
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| 700 | 1 | |a Lin, James |e verfasserin |4 aut | |
| 700 | 1 | |a Camarata, Paul J |e verfasserin |4 aut | |
| 700 | 1 | |a Andrews, Brian T |e verfasserin |4 aut | |
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