Experience in microsurgical treatment of complete scalp avulsion
Case series published in Ann Plast Surg (2023)
Abstract
BACKGROUND: Avulsion of the scalp is a rare destructive event worldwide. Before the emergence of microsurgery, skin transplantation, flap transplantation, greater omentum transplantation, and other methods were once widely used. However, replantation offers the optimum reconstruction. METHODS: Six cases of complete avulsion injury of a large scalp treated from May 2017 to May 2020 were retrospectively analyzed. Under the microsurgery technology, the wound was cleaned and explored, and the appropriate arteriovenous anastomosis was selected. Preoperative blood preparation and skin preparation were actively performed. Postoperative strict nursing and observation of the blood supply of replanted scalp were performed. Regular outpatient follow-up after discharge was performed. RESULTS: Replantation was successful in 5 cases and failed in 1 case, and in 1 case the occipital scalp (approximately 10% of the scalp area) died and crusted 2 months after the operation. After 6 to 24 months of follow-up, all patients were satisfied with the reconstructed appearance. CONCLUSIONS: Superb microsurgical technique and more detailed anatomical knowledge are the key conditions for successful complete scalp avulsion replantation. Compared with other methods, successful replantation can achieve the best aesthetic and functional results.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Single-institution case series of complete-scalp-avulsion microsurgical treatment with outcome analysis.
Por qué esto importa para la hirudoterapia
Este estudio retrospectivo analizó seis casos de avulsión completa de cuero cabelludo tratados con reimplantación microquirúrgica entre mayo de 2017 y mayo de 2020, informando reimplantación exitosa en cinco casos y satisfacción del paciente con el aspecto reconstruido durante un seguimiento de 6 a 24 meses. El resumen se centra por completo en la técnica microquirúrgica, la selección de anastomosis arteriovenosas, la preparación preoperatoria y los cuidados postoperatorios. Para el ámbito de ASH, el artículo no presenta ninguna conexión defendible: las sanguijuelas, la hirudoterapia y el secretoma de la sanguijuela no se mencionan en ningún punto del resumen. El estudio solo es relevante para los resultados de la microcirugía reconstructiva y no aporta evidencia alguna sobre la hirudoterapia.
Citación
Experience in microsurgical treatment of complete scalp avulsion.
Lin et al. · Annals of plastic surgery, 2023
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: 18 de junio de 2026