Scalping injuries: dos and don'ts.
Replantation is the treatment of choice in scalping injuries and should always be considered, even in case of a badly damaged scalp. Specific procedures regarding pre-, intra- and postoperative care are crucial to success in replantation. These include: haemodynamic stabilization of the patient without causing damage to possible donor vessels; cooling, cleaning and further proper care of the avulsed specimen; use of antibiotics and haemodilution to optimize the intra- and post-operative situation. The above is illustrated by a case history of successful replantation of a seriously damaged avulsed scalp.
Winters
H A
HA
Academic Hospital, Free University, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam, The Netherlands.
Hage
J J
JJ
van der Biezen
J J
JJ
de Graaf
F H
FH
D000328:Adult; D005260:Female; D006801:Humans; D012535:Scalp / Q000293:injuries* / Q000601:surgery*; D014945:Wound Healing