Leech therapy: a non-surgical management for varicose vein
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20220576Keywords:
Leech, Vein, Hemorrhoids, VaricoceleAbstract
Varicosity refers to multiple, dilated, tortuous, and elongated veins that have permanently lost their valvular efficiency, such as haemorrhoids, varicocele, and esophageal varices. Varicose veins are twisted and enlarged veins that are commonly found in the legs. When veins become varicose, the valves stop working properly, allowing blood to flow backwards and the veins to engorge. Varicose veins are most common in the superficial veins of the legs, with the veins engorging and ulcerating as a result of standing under high pressure. The purpose of this case series is to evaluate the efficacy of Hirudotherapy in the treatment of varicose veins in the lower legs. Hirudotherapy was carried out scientifically by employing appropriate hygienic measures, and 8 to 10 leeches were used locally to suck the blood and transmit important bioactive enzymes that could aid in the treatment of varicose veins of the lower legs. Hirudotherapy was given every ten days for 60 days, and patients were monitored for a year. Leech therapy was found to significantly reduce venous engorgement by resolving edema, inflammation, and venous congestion.
References
Tibbs DJ. Varicose veins and related disorders. Butterworth-Heinemann.First edition. 1992;25-6.
Pavan Prasad BK, Prem Kumar A. Clinical Study of varicose veins and their management. International Journal Biomed Advance Res. 2015;6(08):564-8.
Itrat M, Zarnigar, Haque N. Historical Aspect of Leech Therapy: A Critical Review. International Journal of Health Science and Research. 2013;3(7):78-83.
Ng M, Andrew T, Spector T, Jeffery S. Linkage to the FOXC2 region of chromosome 16 for varicose veins in otherwise healthy, unselected sibling pairs." Journal of Medical Genetics. 2005;42(3):235-9.
Hobbs JT. Varicose veins arising from the pelvis due to ovarian vein incompetence. Int J Clin Pract. Int J Clin Pract. 2005;59:1195-203.
Giannoukas AD, Dacie JE, Lumley JS. Recurrent varicose veins of both lower limbs due to bilateral ovarian vein incompetence". Ann Vasc Surg. 2000;14:397-400.
Marsh P, Holdstock J, Harrison C, Smith C, Price BA, Whiteley MS. Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service District General Hospital". Phlebology. 2009;24:108-13.
Whiteley MS. Part One: For the Motion. Venous Perforator Surgery is Proven and Does Reduce Recurrences. European Journal of Vascular and Endovascular Surgery. 2014;48(3):239-42.
Rutherford EE, Kianifard B, Cook SJ, Holdstock JM, Whiteley MS. Incompetent perforating veins are associated with recurrent varicose veins. European Journal of Vascular and Endovascular Surgery. 2001;21(5):458-60.
Shenoy KR. Varicose veins and deep vein thrombosis. Manipal manual of surgery 2009, Millennium edition. 87-9.
Phipps, Sands, Marek. Medical surgical nursing 6th ed. Philadelphia: Mosby Publication. 1999.
Health J. varicose veins and spider veins. Available at: http;//body and fitness.com/information/womenhealth/varicose.htm. Accessed on 20 November 2021.
Campbel B. Varicose veins and their management. BMJ. 2006;333(7562):287-92.
Curri SB. Changes of cutaneous microcirculation from elasto-compression in chronic venous insufficiency. In Davy A and Stemmer R (eds.) Phlebology '89, Montrouge, France, 'John Libbey Eurotext. 1989.
Nigar Z, Alam MA. Effect of taleeq (leech therapy) in dawali (varicose veins). Ancient science of life. 2011;30(3):84-91.
Anonymous. The McMillan Family Encyclopaedia. London: fraction, decreasing reflex & reducing the residual volume McMillan Press Ltd. 1995;271.
Verma PS. A manual of practical zoology invertebrates. New 33 emptying of the valvular cusps. Improve the muscle Delhi: S Chand & Company Ltd. 2006;288-91.
Laurikka J, Sisto T, Auvinen O, Tarkka M, Hakama M. Varicose veins in a Finnish population aged. 2020;40-60.
Canonico S, Gallo C, Paolisso G, Pacifico F, Signoriello G. venous insufficiency with various kinds of compression & Sciaudone G, Ferrara N, Piegari V, Varricchio, Rengo F. Prevalence of varicose veins in an Italian elderly population. measurements & various methods of plethysmography. Angiology. 1998;49:129135.12.
Evans CJ, Fowkes FGR, Ruckley CV, Lee AJ. Prevalence ofaN, Hannerz H, Burr H, Kristensen TS. Standing at work and varicose veins. Scand J Work Environ Health. 2000;26:414420.
Jawien A, Grzela T, Ochwat A. Prevalence of chronic venous insufficiency (CVI) in men and women in Poland: Multicentre cross-sectional study in 40,095 patients Phlebology 2003; 18: 110 122
Tuchsen F, Krause N, Hannerz H, Burr H, Kristensen TS Standing at work and varicose veins. Scand J Work Environ Health. 2000;26:414420.
Mechallsen A, Roth M, Dobos G. Medical Leech Therapy.. Publication Thieme, New York, USA. 2007;11-12:132-8.
