Donor Wound Closure

  • Damkerng Pathomvanich


Hemostasis should be achieved before wound closure. I usually pack the incision with moist gauze as I dissect. When active bleeding is difficult to control, the vessel can be picked up and clamped by a pair of artery forceps. If the vessel is small the hemostat can be released before wound closure. On the other hand, if the vessel is large and at the center of incision, it is best to control the bleeding by 4/0 vicryl ligature or low-current cautery. In my practice I have to use cautery two to three times a month, so it is advisable to have the equipment.


Wound Closure Minimal Tension Skin Edge Layer Closure Retention Suture 
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  1. 1.
    Hitzig G, Schwinmng J, Handler SL. Clinical application of infrared coagulator in hair transplantation. (Address reprint request to Gary Hitzig, 165 N. Village Ave, Ste. 125, Rochville Centre, NY 11570)Google Scholar
  2. 2.
    Warmuth IP, Massey RA Saintil M, et al (1998) Infrared coagulator in hair transplantation. Dermatol Surg 24:1079–1082 (32 refs)CrossRefPubMedGoogle Scholar
  3. 3.
    Frechet P (2005) Donor harvesting with invisible scars. HT Forum Int 15(4)Google Scholar
  4. 4.
    Marzola M (2005) Trichophytic closure of the donor area. HT Forum Int 15(4)Google Scholar
  5. 5.
    Marzola M (2006) Single-scar harvesting technique. In: Haber R, Stough D (eds) Hair transplantation. Elsevier Saunders, Philadelphia, pp 83–85Google Scholar
  6. 6.
    Rose P (2005) Trichophytic donor closure. HT Forum Int 15(4)Google Scholar
  7. 7.
    Puig C (2008) Controlled trichophytic closure dissection with a ledge knife. Presented at annual scientific ISHRS meeting in Montreal, CanadaGoogle Scholar
  8. 8.
    Kim DY (2008) Planning off inferior edge in Frechet & Rose trichophytic closure. Presented at annual scientific ISHRS meeting in Montreal, CanadaGoogle Scholar
  9. 9.
    Gerald S (2002) Hair transplantation: management of the donor area. Dermatol Surg 28:136–142CrossRefGoogle Scholar
  10. 10.
    Bernstein M (2008) Staples revisited. HT Forum Int 18:9Google Scholar
  11. 11.
    Haber R (2007) The use of octylcyanoacrylate-dermabond as a tissue adhesive for donor wound closure in hair transplantation. Hair Forum Int 33:966–971Google Scholar
  12. 12.
    Arnold J. Rapid intraoperative tissue expansion created by tension clamp. In: Haber RS, Stough DB (eds) Hair replacement: surgical and medical. Mosby, St. Louis, pp 259–266Google Scholar
  13. 13.
    Nordstrom RE, Greco M, Rapsio E, et al (2001) The Nordstrom suture to enhance scalp reduction. Plast Reconstruct Surg 107:583–585CrossRefGoogle Scholar
  14. 14.
    Pak J, Rassman W, Gazoni P, et al (2008) Management of the occipital scalp tension wound in hair transplant surgery with the Quill suture. HT Forum Int 18:149Google Scholar
  15. 15.
    Wong SY, Kingsnorth AN (2002) Abdominal wound dehiscence and incisional hernia. Surgery (Oxf) 20:100–103CrossRefGoogle Scholar
  16. 16.
    Parletic MM (2000) Use of external skin stretching device for wound closure in dogs and cats. J Am Vet Med Assoc 217:350–354CrossRefGoogle Scholar
  17. 17.
    Moka G, Schonauer F, Blasi F (1999) Progressive skin extension: clinical and histological evaluation of a modified procedure using Kirshner wires. Br J Plast Surg 52:205–208CrossRefGoogle Scholar
  18. 18.
    Lasinski J (2000) Monocryl suture in hair transplantation. HT Forum Int 10(3)Google Scholar
  19. 19.
    Pitchon M (2008) The good-night Closure. HT Forum Int 18:8Google Scholar
  20. 20.
    Brookside Associates (2001) Suture materials and techniques: use 3/0 nylon require good retention. Operational Medicine, Field Medical Service School Student handbook, p 99Google Scholar
  21. 21.
    Mayer M (2005) Scalp elasticity scale. HT Forum Int 15(4)Google Scholar
  22. 22.
    Beehner M (2000) A proposal for selective delayed closure of the donor area. HT Forum Int 10(3)Google Scholar

Copyright information

© Springer 2010

Authors and Affiliations

  • Damkerng Pathomvanich
    • 1
    • 2
  1. 1.DHT ClinicBangkokThailand
  2. 2.Bumrungrad HospitalBangkok

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