Cranial surgery without head shaving.
Hiroshi Tokimura1, Kenichiro Tajitsu, Masahiro Tsuchiya
1Division of Neurosurgery, Sendai Shimin Hospital, 4107-7 Nagatoshi-cho, Satsumasendai City, Kagoshima 895-0005, Japan. hiroshitok@nag.bbiq.jp
Summary
Craniotomy without head shaving is safe and effective, with a low infection rate of 1.1%. Using an electrosurgical scalpel further reduced infection risk in cranial surgery patients.
Area of Science:
- Neurosurgery
- Surgical Techniques
- Infection Control
Background:
- Traditional craniotomy often involves complete head shaving.
- Head shaving can lead to patient anxiety and potential complications.
- Alternative methods aim to reduce operative time and infection risk.
Purpose of the Study:
- To evaluate the efficacy and safety of craniotomy without head shaving.
- To assess the utility of the electrosurgical scalpel in this procedure.
- To determine the impact on postoperative wound infection rates.
Main Methods:
- A simplified craniotomy technique was employed in 632 patients, avoiding head shaving.
- Hair was parted and secured with adhesive drapes.
- Electrosurgical scalpels were utilized for dissection in recent cases.
- Standard wound closure and postoperative hair washing were performed.
Main Results:
- A low postoperative wound infection rate of 1.1% (7 out of 632 patients) was observed.
- No wound infections occurred in the 34 patients who underwent craniotomy using the electrosurgical scalpel.
- The simplified procedure did not increase infection risk.
Conclusions:
- Craniotomy without head shaving is a safe and effective alternative.
- The electrosurgical scalpel may further reduce the probability of wound infection by minimizing bleeding.
- This simplified approach offers potential benefits for patient care and outcomes.
