American Society of Hirudotherapy

Successful replantation of total scalp avulsion: a case report and literature review

Case report and review published in World J Plast Surg (2025)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical LiteratureAkhoondi Nasab et al. · World journal of plastic surgery, 2025

Abstract

This case report describes the surgical management and outcome of a 24-year-old female engineer who suffered a total scalp avulsion injury caused by an industrial food mixer. The injury extended from the level of the eyebrows to the back of her neck and was complicated by the traumatic amputation of her right-hand first finger. Successful replantation of the scalp was achieved using microsurgical techniques, with postoperative challenges including venous congestion requiring secondary intervention. This case highlights the importance of timely surgical intervention, comprehensive trauma management, and postoperative anticoagulation in extensive avulsion injuries.

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

Publication typeCase ReportsJournal Article

Summary

A 24-year-old woman with total scalp avulsion and finger amputation underwent successful microsurgical scalp replantation; postoperative venous congestion required secondary intervention, underscoring timely surgery and anticoagulation.

Context

This case report details the successful microsurgical replantation of a totally avulsed scalp, complicated by postoperative venous congestion that required secondary intervention. The abstract does not specify whether leech therapy was the secondary intervention used to manage the congestion, mentioning only general postoperative anticoagulation.

Citation

Reference (Vancouver style)

Akhoondi Nasab MR, Minouee A, Shariat MH. Successful replantation of total scalp avulsion: a case report and literature review. World J Plast Surg. 2025;14(3):91-96. doi:10.61882/wjps.14.3.91. PMID: 41607572

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

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