Abdelmoughit Echchaoui ¹ Ahmad Al Ahmad² Mohamed Raboune³ Nawfal Fejjal⁴

^1,3Department of Plastic and Reconstructive Surgery, Ibn Sina University Hospital, Rabat 10000, Morocco,2Department of Orthopedic Surgery & Traumatology, Ibn Sina University Hospital, Rabat10000, Morocco,4Department of Pediatric Plastic Surgery, Children’s Hospital of Rabat 10000, Morocco.

Address for correspondence: Dr. Abdelmoughit Echchaoui, Department of Plastic and ReconstructiveSurgery, Ibn Sina University Hospital, Rabat 10000, Morocco.

Email: e.moughit@hotmail.fr

Introduction: Medicinal leeches (Hirudomedicinalis) have been used since ancient times in several fields of medicine, notably in plastic and reconstructive surgery.Currently, thanks to the mechanic properties and biochemical of their saliva (hirudin),Medicinal leeches are considered as a treatment of choice for venous insufficiency after replantation or flap surgery especially when surgical repair is not technically possible.Applying leeches must obey to well-established rules for the safe and effective use and avoiding serious complications.

Keywords:Hirudotherapy, HirudoMedicinalis, Hirudin, Venous Congestion.