Successful replantation of total scalp avulsion: a case report and literature review
Case report and review published in World J Plast Surg (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.
Summary
Total scalp avulsion replantation case report with literature review of related cases.
Why This Matters for Hirudotherapy
This case report details the successful microsurgical replantation of a totally avulsed scalp, complicated by postoperative venous congestion that required secondary intervention. The condition of venous congestion following replantation is a classic indication for hirudotherapy, making this surgical scenario highly relevant to the practical applications of medicinal leeches. However, the abstract does not specify whether leech therapy was the secondary intervention used to manage the congestion, mentioning only general postoperative anticoagulation. Therefore, while the clinical context aligns perfectly with common hirudotherapy use cases, the article's direct relevance is limited by the lack of explicit mention of leech application.
Citation
Successful replantation of total scalp avulsion: a case report and literature review.
Akhoondi Nasab et al. · World journal of plastic surgery, 2025
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