Scalp lacerations are apparently a hot topic these days. This is the third post now on how to apply a bandage to a scalp laceration.
Trick of the Trade:
Tie-over dressing technique
- After suturing a laceration in place, leave the suture tails 6-8 cm long.
- Roll up a piece of gauze.
- Place the gauze roll on top of the sutured laceration.
- Secure the gauze using the long tails of the sutures.
- After 1-2 days, the patient should cut the tied-over knots to remove the gauze. This allows the wound to be inspected and cleaned.
I have a question though:
I suture scalp lacerations only if the patient is balding or bald in the area. How would I bandage if you use staples instead of sutures for the scalp? I imagine my options:
- Beanie hat approach
- Hair braid dressing
- Place 2-3 sutures to help close the laceration (interspersed amongst the staples) just to do a tie-over dressing
- Don't bandage. Just cover up the staples with the overlying hair.
Ginzburg A, Mutalik S. Another method of tie-over dressing for surgical wounds of hair-bearing areas. Dermatol Surg. 1999 Nov; 25(11):893.