Test Your Knowledge of Wound Repair (Postscript 2 of 2)

Evidence-Based Urgent Care Postscript
Acute Traumatic Wounds: Evaluation, Cleansing, and Repair in Urgent Care | August 2022

A 26-year-old man presents to urgent care with a 4-cm frontal scalp laceration sustained 2 hours prior. The wound does not violate muscle or tendon, but crosses the hairline and is oozing slightly, even after injection with 1% lidocaine with epinephrine. Which of the following options is best next step for management of this wound?

A. Close the wound using hair apposition for the hair-covered (top) portion of the wound and using tissue adhesive for the skin inferior to the hairline.

B. Close the wound using staples for the hair-covered (top) portion of the wound and using 6-0 polypropylene (Prolene®) sutures in a simple interrupted technique for the skin inferior to the hairline.

C. Cleanse the wound and advise the patient to return for possible delayed primary closure.

D. Staple the entire wound because it’s on the scalp and the whole scar will be covered by hair if the patient doesn’t trim his hair too short in the future.

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Last Updated on January 26, 2023

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