Absorbable intradermal closure of elective craniotomy wounds.

Sergio Paolini, Roberta Morace, Giuseppe Lanzino, Paolo Missori, Giovanni Nano, Giampaolo Cantore, Vincenzo Esposito

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE: More and more commonly, craniotomies are being performed with minimal hair shaving to improve cosmesis and facilitate return to a normal life. In such patients, traditional sutures or metal staples are used for scalp closure. This practice requires suture removal, often perceived as a cause of discomfort by the patient. We investigate the safety and efficacy of intradermal sutures in a large, consecutive series of patients undergoing elective craniotomy. METHODS: Wound healing complications were investigated in a consecutive series of 208 patients who underwent elective craniotomy during a 2-year period. In all patients, minimal shaving, performed by shaving a small strip of hair along the planned wound, was used. Scalp closure was achieved with only absorbable intradermal running sutures. All wounds were covered with sterile adhesive strips, which were kept in place for 24 hours postoperatively. Patients were followed for a mean follow-up period of 10.6 months (range, 1-23 mo). RESULTS: All patients except two had satisfactory wound healing. One patient (0.48%) developed cerebrospinal fluid leakage, which responded to bed rest and lumbar drainage. Another patient (0.48%) had a superficial skin infection, which was successfully treated with topical wound care and oral antibiotics. CONCLUSION: The closure method described is safe and effective. The absence of visible sutures in the postoperative course reinforces the cosmetic advantage of no shaving and decreases discomfort associated with the removal of sutures or staples.

Original languageEnglish (US)
JournalNeurosurgery
Volume62
Issue number5 Suppl 2
StatePublished - May 2008
Externally publishedYes

Fingerprint

Craniotomy
Sutures
Wounds and Injuries
Scalp
Wound Healing
Hair
Bed Rest
Cosmetics
Adhesives
Drainage
Metals
Anti-Bacterial Agents
Safety
Skin

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Paolini, S., Morace, R., Lanzino, G., Missori, P., Nano, G., Cantore, G., & Esposito, V. (2008). Absorbable intradermal closure of elective craniotomy wounds. Neurosurgery, 62(5 Suppl 2).

Absorbable intradermal closure of elective craniotomy wounds. / Paolini, Sergio; Morace, Roberta; Lanzino, Giuseppe; Missori, Paolo; Nano, Giovanni; Cantore, Giampaolo; Esposito, Vincenzo.

In: Neurosurgery, Vol. 62, No. 5 Suppl 2, 05.2008.

Research output: Contribution to journalArticle

Paolini, S, Morace, R, Lanzino, G, Missori, P, Nano, G, Cantore, G & Esposito, V 2008, 'Absorbable intradermal closure of elective craniotomy wounds.', Neurosurgery, vol. 62, no. 5 Suppl 2.
Paolini S, Morace R, Lanzino G, Missori P, Nano G, Cantore G et al. Absorbable intradermal closure of elective craniotomy wounds. Neurosurgery. 2008 May;62(5 Suppl 2).
Paolini, Sergio ; Morace, Roberta ; Lanzino, Giuseppe ; Missori, Paolo ; Nano, Giovanni ; Cantore, Giampaolo ; Esposito, Vincenzo. / Absorbable intradermal closure of elective craniotomy wounds. In: Neurosurgery. 2008 ; Vol. 62, No. 5 Suppl 2.
@article{99ecc039a29f4a6fb529935c090ad311,
title = "Absorbable intradermal closure of elective craniotomy wounds.",
abstract = "OBJECTIVE: More and more commonly, craniotomies are being performed with minimal hair shaving to improve cosmesis and facilitate return to a normal life. In such patients, traditional sutures or metal staples are used for scalp closure. This practice requires suture removal, often perceived as a cause of discomfort by the patient. We investigate the safety and efficacy of intradermal sutures in a large, consecutive series of patients undergoing elective craniotomy. METHODS: Wound healing complications were investigated in a consecutive series of 208 patients who underwent elective craniotomy during a 2-year period. In all patients, minimal shaving, performed by shaving a small strip of hair along the planned wound, was used. Scalp closure was achieved with only absorbable intradermal running sutures. All wounds were covered with sterile adhesive strips, which were kept in place for 24 hours postoperatively. Patients were followed for a mean follow-up period of 10.6 months (range, 1-23 mo). RESULTS: All patients except two had satisfactory wound healing. One patient (0.48{\%}) developed cerebrospinal fluid leakage, which responded to bed rest and lumbar drainage. Another patient (0.48{\%}) had a superficial skin infection, which was successfully treated with topical wound care and oral antibiotics. CONCLUSION: The closure method described is safe and effective. The absence of visible sutures in the postoperative course reinforces the cosmetic advantage of no shaving and decreases discomfort associated with the removal of sutures or staples.",
author = "Sergio Paolini and Roberta Morace and Giuseppe Lanzino and Paolo Missori and Giovanni Nano and Giampaolo Cantore and Vincenzo Esposito",
year = "2008",
month = "5",
language = "English (US)",
volume = "62",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "5 Suppl 2",

}

TY - JOUR

T1 - Absorbable intradermal closure of elective craniotomy wounds.

AU - Paolini, Sergio

AU - Morace, Roberta

AU - Lanzino, Giuseppe

AU - Missori, Paolo

AU - Nano, Giovanni

AU - Cantore, Giampaolo

AU - Esposito, Vincenzo

PY - 2008/5

Y1 - 2008/5

N2 - OBJECTIVE: More and more commonly, craniotomies are being performed with minimal hair shaving to improve cosmesis and facilitate return to a normal life. In such patients, traditional sutures or metal staples are used for scalp closure. This practice requires suture removal, often perceived as a cause of discomfort by the patient. We investigate the safety and efficacy of intradermal sutures in a large, consecutive series of patients undergoing elective craniotomy. METHODS: Wound healing complications were investigated in a consecutive series of 208 patients who underwent elective craniotomy during a 2-year period. In all patients, minimal shaving, performed by shaving a small strip of hair along the planned wound, was used. Scalp closure was achieved with only absorbable intradermal running sutures. All wounds were covered with sterile adhesive strips, which were kept in place for 24 hours postoperatively. Patients were followed for a mean follow-up period of 10.6 months (range, 1-23 mo). RESULTS: All patients except two had satisfactory wound healing. One patient (0.48%) developed cerebrospinal fluid leakage, which responded to bed rest and lumbar drainage. Another patient (0.48%) had a superficial skin infection, which was successfully treated with topical wound care and oral antibiotics. CONCLUSION: The closure method described is safe and effective. The absence of visible sutures in the postoperative course reinforces the cosmetic advantage of no shaving and decreases discomfort associated with the removal of sutures or staples.

AB - OBJECTIVE: More and more commonly, craniotomies are being performed with minimal hair shaving to improve cosmesis and facilitate return to a normal life. In such patients, traditional sutures or metal staples are used for scalp closure. This practice requires suture removal, often perceived as a cause of discomfort by the patient. We investigate the safety and efficacy of intradermal sutures in a large, consecutive series of patients undergoing elective craniotomy. METHODS: Wound healing complications were investigated in a consecutive series of 208 patients who underwent elective craniotomy during a 2-year period. In all patients, minimal shaving, performed by shaving a small strip of hair along the planned wound, was used. Scalp closure was achieved with only absorbable intradermal running sutures. All wounds were covered with sterile adhesive strips, which were kept in place for 24 hours postoperatively. Patients were followed for a mean follow-up period of 10.6 months (range, 1-23 mo). RESULTS: All patients except two had satisfactory wound healing. One patient (0.48%) developed cerebrospinal fluid leakage, which responded to bed rest and lumbar drainage. Another patient (0.48%) had a superficial skin infection, which was successfully treated with topical wound care and oral antibiotics. CONCLUSION: The closure method described is safe and effective. The absence of visible sutures in the postoperative course reinforces the cosmetic advantage of no shaving and decreases discomfort associated with the removal of sutures or staples.

UR - http://www.scopus.com/inward/record.url?scp=53149150273&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=53149150273&partnerID=8YFLogxK

M3 - Article

C2 - 18596533

AN - SCOPUS:53149150273

VL - 62

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 5 Suppl 2

ER -