Postoperative (Pressure) Alopecia

Abel, Robert

doi:10.1001/archderm.1960.03730010038004

Cited by 66 publications

(34 citation statements)

References 8 publications

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“…Clinicians have long recognized that pressure on bony prominences during prolonged operations can result in alopecia (hair loss) and ischemic ulcers (Abel and Lewis, 1960;Kosiak, 1959Kosiak, , 1961Lawson et al, 1976;Souther et al, 1973). Simply put, the hydrostatic pressure in capillaries is relatively low and can be disrupted by either high amounts of pressure for short periods of time or relatively low, but constant pressure over prolonged periods, and in either instance results in ischemia (Kosiak, 1959(Kosiak, , 1961.…”

Section: Ischemic Ulcersmentioning

confidence: 99%

Occipital lesions: A possible cost of cradleboards

Holliday

1993

American J Phys Anthropol

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This examination of a Mimbres-Mogollon pueblo skeletal sample reveals a surprising percentage of individuals with occipital lesions. Each lesion is located in the approximate center of the squama immediately superior to the external occipital protuberance. Notably, no child over the age of 1 year exhibits a lesion that would have been active at the time of death, but a number of older children and adults exhibit evidence of healed lesions in this same area on the occipital. The restricted nature of these lesions, in terms of both their locations and ages of those actively affected, suggests that the use of cradleboards may have been at least a contributing, if not initiatory, factor in their creation. Specifically, this study suggests that the pressure and friction of an infant's head against a cradleboard may have 1) produced ischemic ulcers, 2) produced the conditions favorable for bacterial infections such as impetigo or carbuncles, or 3) complicated the treatment of other infections appearing on the back of the scalp.

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Section: Ischemic Ulcersmentioning

confidence: 99%

Occipital lesions: A possible cost of cradleboards

Holliday

1993

American J Phys Anthropol

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“…Sudden loss of scalp hair after surgery was first observed by Abel et al in 1960 in a series of eight gynecological procedures which were performed for gynecologic cancer and large uterine myomata [1]. The same authors published another series of eight patients including non-gynecological patients [2].…”

Section: Discussionmentioning

confidence: 96%

“…Postoperative alopecia is an extremely rare occurrence seen after a variety of surgical procedures performed under general anesthesia [1][2][3][4]. The etiology is thought to be pressure-induced ischemia due to the static position of the head for prolonged interval.…”

Section: Introductionmentioning

confidence: 99%

“…The etiology is thought to be pressure-induced ischemia due to the static position of the head for prolonged interval. Other intraoperative factors like steep Trendelenburg position, massive blood loss, hypotension, and general anesthesia also contribute to its increased occurrence [1,2]. The first description of the condition was reported in 1960 on eight patients undergoing prolonged hysterectomy for gynecological cancer and large uterine myomata by Abel et al [1].…”

Section: Introductionmentioning

confidence: 99%

“…Other intraoperative factors like steep Trendelenburg position, massive blood loss, hypotension, and general anesthesia also contribute to its increased occurrence [1,2]. The first description of the condition was reported in 1960 on eight patients undergoing prolonged hysterectomy for gynecological cancer and large uterine myomata by Abel et al [1]. Since then, there has been one case report on this condition associated with a laparoscopic hysterectomy in the gynecology literature [5].…”

Section: Introductionmentioning

confidence: 99%

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Postoperative (pressure) alopecia following sacrocolpopexy

Madhu

Luck

2015

J Robotic Surg

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Postoperative alopecia is a rare occurrence seen after a variety of surgical procedures performed under general anesthesia. The speculated cause is pressure-induced ischemia due to prolonged head immobilization. This case describes a patient who developed this complication after undergoing sacrocolpopexy. A 57-year-old postmenopausal Caucasian female was consented to undergo a robotic-assisted sacrocolpopexy, perineoplasty, and midurethral sling with possible conversion to an open procedure. The indication was symptomatic proximal and distal rectocele with foreshortened vagina. It was converted to laparotomy due to difficult presacral dissection. Her total operative time was 540 with 240 min in the Trendelenburg position. No intraoperative hypotension or excessive blood loss was noted. She started complaining of scalp pain in the postoperative recovery area. She developed soreness, crusting, and later alopecia in the same area. It was noted at her 3-week office visit. Referral was made for dermatology and anesthesiology evaluation. There was spontaneous full recovery by the 5th month. Postoperative alopecia is a rare condition mimicking alopecia areata but it is preceded by inciting events. There is some evidence to suggest that it is a preventable condition by frequent head repositioning during surgery. This case report is intended to increase the surgeon's awareness about this rare complication as its occurrence can be distressing for the patient.

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Circulatory Changes in Alopecia

Cormia¹

1961

Arch Dermatol

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Postoperative (Pressure) Alopecia

Cited by 66 publications

References 8 publications

Occipital lesions: A possible cost of cradleboards

Occipital lesions: A possible cost of cradleboards

Postoperative (pressure) alopecia following sacrocolpopexy

Circulatory Changes in Alopecia

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