Surgical treatment of complex scalp wounds

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Complex scalp wound surgery when the patient has scalp tear, complicated wound, large size and scalp peeling wound. Contraindicated in patients with small scalp wounds, blood clotting disease.

1. What is a complex scalp wound?

Scalp trauma is the most common emergency injury in traumatic brain injury. Similar to complicated soft tissue wounds, complex scalp wounds are wounds with extensive scalp tears, skin peeling, and many muscles; blood loss and make the skull bones unprotected.
Therefore, it is necessary to give emergency treatment to scalp injuries for surgical wound treatment and cosmetic reconstruction.

Chấn thương sọ não — Vết thương da đầu phức tạp là tổn thương thường gặp trong chấn thương sọ não

2. Surgical treatment of complex scalp wounds

2.1. Indications and contraindications for complex scalp wound surgery Complex scalp wound surgery is when: Scalp tear, complicated wound, large size and scalp peeling wound. Contraindicated in cases: Patients with small scalp wounds, blood clotting disease. 2.2. Steps to perform surgery Step 1: Diagnose the disease, do biological tests, evaluate the overall disease status, and receive treatment and nourishment to ensure the expected surgery for the patient. Step 2: Ask the patient to clean and fast before surgery for at least 6 hours. Step 3: Prepare a major surgery kit; specialized equipment for neurosurgery, drugs, infusion... Step 4: Endotracheal anesthesia; clean the wound with water, hydrogen peroxide, betadine; maximum removal of foreign bodies; cut off the crushed, dirty organization; hemostasis by bipolar electrocautery; Place drainage under the scalp, suction negative pressure. Step 5: Close the incision with 2 layers and apply pressure.

3. Monitoring and handling complications after complicated scalp wound treatment

Monitoring after surgery: Whole body (pulse, blood pressure); neurological condition; bleeding after surgery ; cranial drainage Management of complications: Re-operation to stop bleeding, blood transfusion in case of bleeding; high dose antibiotic treatment, clean up surgery in case of infection; flap surgery if the flap is dead. Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in neurological examination and treatment, patients can completely rest in peace. examination and treatment center at the Hospital.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE.

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This article is written for readers from Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.