Reconstructive

362) Which of the following statements is FALSE regarding the medicinal Leech therapy?

A. Hirudo medicinalis is the most commonly used leech in compromised flaps
B. Aeromonas hydrophila has been found in wound infection when using leeches.
C. The use of a third-generation cephalosporin is mandatory for wound infection prophylaxis when using leeches.
D. Hematocrit and ortho stasis should be monitored during long term leech therapy.
E. Monitoring of serum myoglobin is mandatory during leech therapy.




REFERENCES & ANSWER



Utley D.S., Koch R.J., Goode R.L.: The Failing Flap in Facial Plastic and Reconstructive Surgery: Role of the Medicinal Leech, Laryngoscope 108, August 1998, pp 1129-1135


362) E      Monitoring of serum myoglobin is mandatory during leech therapy.