How is a temporal artery biopsy incision closed and dressed?

Updated: Sep 04, 2018
  • Author: Andrew A Winkler, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

After adequate hemostasis is ensured, close the subcutaneous tissue using 5-0 interrupted Monocryl suture on a RB-1 needle, leaving the knot buried deeply. See video below.

Closure of the deep tissues.

Close the scalp skin with a running, locking 5-0 Vicryl Rapide suture. See video below.

Skin closure and postoperative appearance.

Dress the wound with ointment (eg, Aquaphor, white petrolatum). This should be continued 3 times daily until the sutures dissolve. Antibiotic ointment is not necessary.

If hematoma formation is a concern, a pressure dressing of 4 X 4 gauze and Kerlix may be placed around the head. This is typically removed the following day.


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