Interesting Case Series The Leech Condo: An Innovative Approach to Containing Leeches on a Congested Flap

venous congestion before application of “leech condo.” DESCRIPTION The patient is a 42-year-old man with a history of glioblastoma resection, external beam radiation, chemotherapy, and cranioplasty. He then developed a chronically draining wound and soft tissue defect that required an anterolateral thigh free flap, which developed venous congestion on postoperative day 1. After surgical exploration, medicinal leech therapy was employed using an innovate approach to contain the leeches in the area of interest. QUESTIONS 1. What are the benefits and challenges of using leeches for a congested free flap? 2. What is the authors ’ innovative method for containing leeches on a flap? 3. What other methods for applying and containing leeches have been described in the literature? 4. What are the advantages of the “leech condo ” over previously described methods