Healing with Hirudotherapy: A Case Study on Leech Application in Varicose Ulcers

Abstract

Varicose ulcers are wounds that arise due to the malfunctioning of venous valves, predominantly in the legs. These ulcers represent the most severe and debilitating manifestation of chronic venous insufficiency in the lower extremities, accounting for 80 percent of leg ulcer cases. The morbidity associated with varicose ulcers significantly impacts quality of life. Chronic venous hypertension, resulting from venous insufficiency, is a key factor leading to ulcer formation. Management strategies for venous ulcers encompass conservative care, mechanical interventions, pharmacological treatments, and surgical options.

The objective of this study is to assess the impact of leech therapy on a 55-year-old male patient who visited surgical OPD at HSZH Unani Medical Hospital. The patient complained of pain, swelling, an infected wound on the lateral aspect of his left lower leg, skin discoloration, and serous discharge from the wound, persisting for two years. He was admitted and received leech therapy across multiple sessions. As a result, his signs and symptoms improved by 90%, providing significant relief.

This case study underscores the potential advantages of leech therapy in the treatment of varicose ulcers, proposing it as a valuable adjunctive treatment option.