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Abstract
Replantation is the treatment of choice in scalping injuries and should always be
considered, even in case of a badly damaged scalp. Specific procedures regarding pre-,
intra- and postoperative care are crucial to success in replantation. These include:
haemodynamic stabilization of the patient without causing damage to possible donor
vessels; cooling, cleaning and further proper care of the avulsed specimen; use of
antibiotics and haemodilution to optimize the intra- and post-operative situation.
The above is illustrated by a case history of successful replantation of a seriously
damaged avulsed scalp.
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References
- Scalp replantation by microsurgical revascularisation.Plast. Reconstr. Surg. 1978; 61: 774
- Successful replantation of two avulsed scalps by microvascular anastomoses.Plast. Reconstr. Surg. 1978; 61: 666
- Injuries causing major loss of scalp.Plast. Reconstr. Surg. 1985; 76: 189
- Microsurgical replantation of a total scalp avulsion.Scand. J. Plast. Reconstr. Surg. 1986; 20: 319
- Avulsion of the scalp treated by microvascular repair: the use of leeches for post operative decongestion.Br. J. Plast. Surg. 1983; 36: 235
- Replantation of an entire scalp and ear by microvascular anastomoses of only 1 artery and 1 vein.Br. J. Plast. Surg. 1978; 31: 339
- Microsurgical replantation of the scalp.J. Trauma. 1985; 25: 987
- Successful replantation of an avulsed scalp by microvascular anastomosis.Plast. Reconstr. Surg. 1976; 58: 133
- Successful replantation of totally avulsed scalp, with profuse regrowth of hair.Plast. Reconstr. Surg. 1978; 62: 447
- Microsurgical reimplantation of avulsed scalp.Ann. Plast. Surg. 1981; 7: 312
Article info
Publication history
Accepted:
April 7,
1994
Identification
Copyright
© 1994 Published by Elsevier Inc.
