Indian Journal of Plastic Surgery
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 Table of Contents    
Year : 2012  |  Volume : 45  |  Issue : 3  |  Page : 586-587

Preparation of a partially avulsed scalp

Department of Plastic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

Date of Web Publication12-Jan-2013

Correspondence Address:
Madhu Periasamy
Department of Plastic Surgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-0358.105992

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How to cite this article:
Periasamy M, Venkatramani H, Sabapathy RS. Preparation of a partially avulsed scalp. Indian J Plast Surg 2012;45:586-7

How to cite this URL:
Periasamy M, Venkatramani H, Sabapathy RS. Preparation of a partially avulsed scalp. Indian J Plast Surg [serial online] 2012 [cited 2019 Aug 20];45:586-7. Available from:


Scalp avulsions are usually associated with individuals having long hair, which, apart from being the reason for the injury, is also an impediment to the treating surgeon attempting to salvage the injured scalp. [1] Methods have been described to remove hair from a totally avulsed scalp. [2],[3] However, on a partially avulsed scalp, the same cannot be done as the injured part that needs to be shaved cannot be separated from the cranium. We present a simple modification of the above methods for the preparation of a near totally avulsed scalp with only an occipital strip of skin attachment. The anaesthetized patient is positioned exposing the avulsed scalp which is lifted off the cranium [Figure 1]. A clean disposable surgical cap is the placed over the cranium carefully tucking the distal part under the pedicle of the scalp [Figure 2]. The avulsed scalp is then re-draped over the cap and fixed to the skin with temporary anchoring sutures [Figure 3]. The scalp is then shaved and washed to remove all loose hair [Figure 4]. The outer surface of the scalp is then painted and the same is done for the inner layers after removal of the anchoring sutures and the protective cap [Figure 5]. The head is then draped in sterile drapes and is positioned for surgery.
Figure 1: Lifting off the avulsed scalp

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Figure 2: Placement of a clean surgical cap

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Figure 3: Degloved scalp anchored back with temporary sutures

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Figure 4: The scalp after shaving and washing

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Figure 5: Uncontaminated subcutaneous tissue

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  References Top

1.Sabapathy SR, Venkatramani H, Bharathi RR, D'Silva J. Technical considerations in replantation of total scalp avulsions. J Plast Reconstr Aesthet Surg 2006;59:2-10.  Back to cited text no. 1
2.Venkatramani H, Sabapathy SR. A simple method of shaving avulsed scalp before replantation. Plast Reconstr Surg 2001;107:286.  Back to cited text no. 2
3.Bhaskara KG, Patil R, Vinoth P. Modified method of shaving an avulsed scalp before replantation. J Plast Reconstr Aesthet Surg 2008;61:850-1.  Back to cited text no. 3


  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]


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