American Society of Hirudotherapy

Modified method of scalp fixation promotes survival of complete scalp avulsion replantation

Case report published in Clin Case Rep (2024)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportClinical LiteratureXu et al. · Clinical case reports, 2024

Abstract

A complete scalp avulsion injury is rare but extremely challenging to treat. Because of the dense blood vessel bundles in the scalp, replantation failure may occur if there is a subcutaneous hematoma. The method of scalp fixation is crucial for replantation to be successful. We successfully treated a total scalp avulsion injury using a modified scalp fixation method, coupled with microsurgical anastomosis, to avoid subcutaneous hematoma effectively and achieved a satisfactory outcome with a follow-up of 9 years postoperatively.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article

Summary

Case report of a total scalp avulsion successfully replanted using a modified scalp fixation method with microsurgical anastomosis to prevent subcutaneous hematoma, with a satisfactory outcome at 9 years of follow-up.

Context

This article reports successful complete scalp avulsion replantation using a modified scalp fixation method combined with microsurgical anastomosis, aimed at preventing subcutaneous hematoma, with satisfactory outcomes at 9-year follow-up. The abstract does not mention leeches, hirudotherapy, or any leech-derived intervention. The study is a single case report focused on a technical modification of scalp fixation to avoid hematoma formation. The abstract does not mention leech therapy, the leech secretome, or hirudin-based anticoagulation.

Citation

Reference (Vancouver style)

Xu L, Zhou G, Ju W, Zhang Y, Jin Q, Li L, et al. Modified method of scalp fixation promotes survival of complete scalp avulsion replantation. Clin Case Rep. 2024;12(12):e9665. doi:10.1002/ccr3.9665. PMID: 39670076

Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.

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