Letter to the Editor

Harenberg, Job; Jörg, Ingrid; Bayerl, C.; Fiehn, Christoph

doi:10.1191/0961203305lu2132xx

Cited by 18 publications

(1 citation statement)

References 5 publications

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“…29,30 However, hirudin analogs have been safely implemented. [31][32][33] Given the local effects of leeches and location of the injury, we were most concerned with antibiotics. Ciprofloxacin, first line for prophylaxis against Aeromonas, 34 is contraindicated in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Lip Replantation in a Pregnant Woman

Caragher

Hwang

Gardenier

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Traumatic lip amputation is a devastating injury. No other tissue replicates its unique histology, often limiting the reconstructive outcome. Replantation is a technically challenging procedure, requiring extensive postoperative optimization, including systemic anticoagulation, leech therapy, significant blood loss, and antibiosis. Given the rarity of replantation in the context of pregnancy, there are no documented accounts of lip replantation in pregnant patients. We report a case of a 25-year-old pregnant woman who sustained an avulsion injury of the right upper lip from a dog bite. The patient presented with the amputated lip and emergent microvascular replantation was performed. Postoperative course consisted of management of controlled yet significant blood loss through leech therapy and close collaboration with obstetric colleagues. The patient was ultimately discharged with successful cosmetic and functional outcome and, importantly, with maintenance of a healthy pregnancy.

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