Evid Based Nurs 6:17 doi:10.1136/ebn.6.1.17
  • Treatment

Treatment of scalp lacerations with a hair apposition technique reduced scarring, pain, and procedure duration compared with suturing

 QUESTION: Is a new technique of treating scalp lacerations (the hair apposition technique [HAT]) as effective as standard suturing for wound healing, complications, and pain?


Randomised (allocation concealed), unblinded, controlled trial with follow up at 1 week.


The emergency departments (EDs) of 2 tertiary care hospitals in Singapore.


189 patients of any age (mean age 32 y, 74% men) with linear non-stellate lacerations of the scalp that were <10 cm in length and with scalp hair >3 cm in length. Exclusion criteria were severely contaminated wounds, actively bleeding wounds that did not stop bleeding after ≥5 minutes of applied pressure, and unstable vital signs or neurological status requiring priority resuscitation. 188 patients (99%) were included in the analysis.


96 patients were allocated to the HAT. Wounds were cleansed according to standard procedure, and no local anaesthetics were given. The wound was closed by bringing together the hair on both sides of the wound and making a single twist; no actual knot was made. The twist …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article