Prospective study on outcome and advantage of primary skin grafting in cases of avulsion scalp injury following trauma

Authors

  • Neeraj Tripati Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Mayank Singh Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Rahul Singh Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Maha Devan Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Anchal Chauhan Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Shashank Tripati Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Dhruv Chandra Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Anil Kumar Singh Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Pradeep Kumar Singh Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Hanuman Prasad Sahi Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Aryendra Singh Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Ashish Kumar Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Ashish Yadav Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Mukesh Kumar Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Lalit Kumar Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Tej Pratap Singh Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Ratika Agrawal Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Shubham Agrawal Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India
  • Sarthak Uttam Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20201855

Keywords:

Avulsion, Grafting, Scalp, Trauma

Abstract

Background: Traumatic avulsion injury poses severe risk as the overlying protective covering is lost and the raw tissue is exposed to the environment. Avulsion injuries involving the scalp are even more complicated to treat because of significant cosmetic concern involved. Aim of the study was to find a better solution than the existing method, we conducted a prospective study involving 13 patients with isolated traumatic scalp avulsion injury.

Methods: This prospective study was conducted in Motilal Nehru Medical College and associated Swaroop Rani Nehru Hospital, Prayagraj,  after taking written and informed consents from the patients, between June 2017 and June 2019.These were divided into two groups (A and B) based on whether the underlying periosteum was intact or not.

Results: Patients with intact periosteum (Group A) underwent primary thin thickness skin grafting within a few hours of their admission while the other group (Group B) was treated with a traditional conservative approach. We compared the results of both the groups and found that Group A patients not only had satisfactory graft uptake (≥85 TBSA) but also had significant decreased risk of infection, lesser hospital stay, overall decreased healthcare cost, better cosmoses and early return to routine activity.

Conclusions: For the surgeon, this single step procedure is safe and technically easy. Thus this approach was found to be superior than the current traditional approach.

 

Author Biographies

Maha Devan, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Anchal Chauhan, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & SENIOR RESIDENT

Shashank Tripati, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Dhruv Chandra, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Anil Kumar Singh, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Pradeep Kumar Singh, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Hanuman Prasad Sahi, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Aryendra Singh, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Ashish Kumar, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Ashish Yadav, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Mukesh Kumar, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Lalit Kumar, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Tej Pratap Singh, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Ratika Agrawal, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Shubham Agrawal, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

Sarthak Uttam, Department of General Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India

DEPARTMENT OF GENERAL SURGERY & JUNIOR RESIDENT

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Published

2020-04-23

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Original Research Articles