Modified hair apposition technique as the primary closure method for scalp lacerations

The American Journal of Emergency Medicine
Sevilay KaradumanJohn R Fowler

Abstract

The aim of this study is to report the usability of our modified hair apposition technique (modHAT) in repairing scalp lacerations. Data were collected prospectively over a 36-month period regarding our routine repair of scalp lacerations: those in areas with hair 1 cm or longer were repaired with our modHAT technique (10-15 hairs bundled and twisted with clamps) using cyanoacrylate glue, whereas wounds in areas with hair less than 1 cm long, with irregular wound edges, or which continued to bleed after pressure, were repaired with sutures or staples. Two days later, a wound check was performed. At least 30 days later, all patients were contacted again by telephone to assess satisfaction with care, preference regarding the method of repair in the future, and occurrence of any complication, infection, or need for additional health care. One hundred two consecutive patients (ages 2-92 years) with scalp lacerations (mean length, 24 mm; range, 4-100 mm) presented for care. Wound closure was accomplished with the modHAT technique in 66%. Sutures were used in 32% and staples in 2% because of baldness/short hair in 6% and continued bleeding after pressure in 28%. Satisfaction in both hair apposition technique and suture groups was hig...Continue Reading

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Citations

Jul 28, 2013·World Journal of Emergency Surgery : WJES·Derya OzturkSerhat Akay
Oct 26, 2010·Emergency Medicine Clinics of North America·Carlos F García-GubernMichael C Bond
Apr 10, 2016·Der Anaesthesist·M T ZacherK-G Kanz
May 3, 2015·Pediatrics in Review·Kelly D BlackDerya Caglar
Dec 17, 2014·Wilderness & Environmental Medicine·Robert H QuinnVicki Mazzorana
Aug 28, 2020·Emergency Medicine Australasia : EMA·James MajerDavid McD Taylor

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