After hemostasis is achieved and the wound is irrigated, scalp lacerations are typically closed with surgical staples under local anesthesia. Sutures may be preferred over staples for large, gaping wounds and to provide hemostasis for wounds with brisk bleeding.
When do scalp lacerations need stitches?
When to seek medical advice
Signs of infection, including increasing pain in the wound, redness, swelling, or pus coming from the wound. Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider. Stitches or staples come apart or fall out before 7 days. Wound edges re-open.
Can a head cut heal without stitches?
If the wound is spread open, it will heal by filling in from the bottom and sides. A wound that is not stitched may take 1 to 4 weeks to heal, depending on the size of the opening. You will probably have a visible scar. You can discuss revision of the scar with your healthcare provider at a later time.
How do you treat a scalp laceration?
If the laceration is on your scalp, it is OK to shampoo and wash. Be gentle and avoid excessive exposure to water. Take proper care of your wound to help reduce scarring. Call your provider if you have questions or concerns about how to care for stitches or staples at home.
How big of a cut on head needs stitches?
If your wound is bigger than approximately ½ inch or deeper than ¼ inch, you should seek medical attention immediately, and you will need stitches. This size of cut is likely to bleed excessively and will need stitches to stop the bleeding.
Do small lacerations need stitches?
How do I know if my child’s cut needs stitches? Lacerations that are superficial (do not involve fat or muscle tissue), are not bleeding heavily, less than 1/2 inch long and do not involve the face can usually be managed at home without stitches.
Why is it so important to avoid infection of lacerations to the scalp?
Scalp lacerations are traumatic injuries. It is essential to instruct patients to stay away or at least be careful when performing high-risk activities, especially given that injuries to the head and face can be severe with long-lasting morbidity.
What is an alternative to stitches?
ZipStitch is surgical quality wound closure to help close minor lacerations quickly with no needles or puncturing of the skin.
What happens if you don’t get stitches out?
What Happens If You Leave Stitches (or Staples) in Too Long? Get your stitches out at the right time. Stitches that are left in too long can leave skin marks and sometimes cause scarring. Delays also make it harder to take the stitches out.
How long does a scalp laceration take to heal?
This is usually in 7 to 14 days. How long you’ll be told to wait depends on where the cut is located, how big and how deep the cut is, and what your general health is like. Your scalp may itch as it heals.
Why do scalp lacerations bleed profusely?
Topic Overview. Minor cuts on the head often bleed heavily because the face and scalp have many blood vessels close to the surface of the skin. Although this amount of bleeding may be alarming, many times the injury is not severe and the bleeding will stop with treatment you can do at home.