HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Brosnahan, J. Search for Related Content PubMed Articles by Brosnahan, J.

Treatment of scalp lacerations with a hair apposition technique reduced scarring, pain, and procedure duration compared with suturing

Key Words: scalp • lacerations • tissue adhesives • suture techniques

The first 150 words of the full text of this article appear below.

Design
Randomised (allocation concealed^*), unblinded,^* controlled trial with follow up at 1 week.

Setting
The emergency departments (EDs) of 2 tertiary care hospitals in Singapore.

Patients
189 patients of any age (mean age 32 y, 74% men) with linear non-stellate lacerations of the scalp that were <10 cm in length and with scalp hair >3 cm in length. Exclusion criteria were severely contaminated wounds, actively bleeding wounds that did not stop bleeding after 5 minutes of applied pressure, and unstable vital signs or neurological status requiring priority resuscitation. 188 patients (99%) were included in the analysis.

Intervention
96 patients were allocated to the HAT. Wounds were cleansed according to standard procedure, and no local anaesthetics were given. The wound was closed by bringing together the hair on both sides of the wound and making a single twist; no actual knot was made. The twist was then secured with tissue glue. Patients were instructed . . . [Full text of this article]

Jane Brosnahan, RCPN, BN

Centre for Evidence Based Nursing Aotearoa
Auckland District Health Board
Auckland, New Zealand