'Tenting' stitches for the scalp

Abstract

A subgaleal collection of blood or cerebrospinal fluid (CSF) is commonly encountered after craniotomy. In spite of the placement of subgaleal drains by many neurosurgeons, a collection at this site is frequent and occasionally can result in complications. 'Tenting' scalp stitches are described. Three to four (or more) stitches are inserted between the galea and the pericranium or between the pericranium and the craniotomy flap at the end of the surgical procedure. This simple manoeuvre was seen significantly to reduce collections in these spaces. To our knowledge, this technique has not been reported in the neurosurgical literature, and we strongly advocate its use.

Key Words:

• Craniotomy
• scalp
• subgaleal effusion