Physical and psycologycal impact of Hair Removal after a craniotomy

Fris Wilen Weri Brata Sarambai, Dina Dewi SLI, Retno Lestari

Abstract


Background: Hair Removal is the removal of hair in the scalp area to make it easier to mark the incision location and prevent hair contamination in the craniotomy surgical area.

Objectives ; This article aims to determine the physical and psychological impact of Hair Removal on patients undergoing craniotomy.

Methods: A systematic review was written based on the identification of scientific articles in three databases, Science Direct, PubMed NCBI, and Proquest using the terms Physical, Psychological, Hair Removal, Craniotomy. Neurosurgery The author selected and analyzed using PRISMA based on predetermined inclusion and exclusion criteria. The review obtained from several electronic databases revealed 662 research articles and a total of 11 articles for analysis.

Results: The physical impact of using non-standard hair razors causes wounds on the scalp, the striptease hair shaving model has a greater risk of infection during craniotomy operations. The psychological impact of regional hair removal has a negative impact on the patient's body image. The body image scale and anxiety about body shape experienced significant differences between pre and post craniotomy surgery.

Conclusions: Hair Removal is still needed to protect the surgical area from hair contamination intraoperatively and make it easier to mark the scalp for incisions during craniotomy surgery. However, there is also a belief that Hair Removal increases the risk of SSI by causing microscopic skin trauma. Regional Hair Removal models can have long-term impacts. This can further affect the patient's body image after the craniotomy procedure

Keywords


craniotomy; hair removal;, hair shaving; neurosurgery; physical; psychological

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References


Liu W jie, Duan Y chen, Chen M jun, Tu L, Yu A ping, Jiang X lian. Effectiveness of preoperative shaving and postoperative shampooing on the infection rate in neurosurgery patients: A meta-analysis. International Journal of Nursing Studies. 2022 Jul 1;131:104240. Doi : https://doi.org/10.1016/j.ijnurstu.2022.104240

Anton Konovalov, Mariana Tlisova, Vadim Gadzhiagaev, Fyodor Grebenev, Elizaveta Safronova,“Unshaved Intradermal Running Suture for Elective Cranial Neurovascular Surgeries”,World Neurosurgery,Volume 171,2023. Doi : https://doi.org/10.1016/j.wneu.2023.01.001

Jeremi Jeffrey, M. (N.D.). Body Image Perception In Non-Syndromic Cleft Lip And Palate Dr Mohamad Jeremi Bin Jeffrey Dissertation Submitted In Partial Fulfillment Of The Requirements For The Degree Of Master Of Surgery (Plastic Surgery) Universiti Sains Malaysia 2020 Ii.

Lacroix, E., Smith, A. J., Husain, I. A., Orth, U., & Von Ranson, K. M. (2023). Normative Body Image Development: A Longitudinal Meta-Analysis Of Mean-Level Change. In Body Image (Vol. 45, Pp. 238–264). Elsevier Ltd. Https://Doi.Org/10.1016/J.Bodyim.2023.03.003

Omolabake, B. I., & Ozoila, K. N. (2020a). A Comparison Of Postoperative Wound Infection Rates After Preoperative Hair Removal With Razors Versus Clippers In A Sub-Urban Setting. International Surgery Journal, 7(11), 3627. Https://Doi.Org/10.18203/2349-2902.Isj20204662

Tanner, J., & Melen, K. (2021). Preoperative Hair Removal To Reduce Surgical Site Infection. Cochrane Database Of Systematic Reviews, 2021(8). Https://Doi.Org/10.1002/14651858.CD004122.Pub5

Tili-Score-New-Diagnostic-Tool-Identifying-Wound-Infection. (N.D.).

Dhamnaskar, S., Mandal, S., Koranne, M., & Patil, P. (2022). Preoperative Surgical Site Hair Removal For Elective Abdominal Surgery: Does It Have Impact On Surgical Site Infection. The Surgery Journal, 08(03), E179–E186. Https://Doi.Org/10.1055/S-0042-1749425

Khan, O. H., Zakaria, A. D., Hashim, M. N., Khan, A. H., Alqarni, A., Algethamy, M., Mahboob, M., Aljoaid, A. M., Ahmed, N. J., & Haseeb, A. (2023). The Burden Of Surgical Site Infection At Hospital Universiti Sains Malaysia And Related Postoperative Outcomes: A Prospective Surveillance Study. Antibiotics, 12(2). Https://Doi.Org/10.3390/Antibiotics12020208

Liu, W. Jie, Duan, Y. Chen, Chen, M. Jun, Tu, L., Yu, A. Ping, & Jiang, X. Lian. (2022). Effectiveness Of Preoperative Shaving And Postoperative Shampooing On The Infection Rate In Neurosurgery Patients: A Meta-Analysis. In International Journal Of Nursing Studies (Vol. 131). Elsevier Ltd. Https://Doi.Org/10.1016/J.Ijnurstu.2022.104240

Omolabake, B. I., & Ozoila, K. N. (2020b). A Comparison Of Postoperative Wound Infection Rates After Preoperative Hair Removal With Razors Versus Clippers In A Sub-Urban Setting. International Surgery Journal, 7(11), 3627. Https://Doi.Org/10.18203/2349-2902.Isj20204662

Tanner, J., & Melen, K. (2021a). Preoperative Hair Removal To Reduce Surgical Site Infection. Cochrane Database Of Systematic Reviews, 2021(8). Https://Doi.Org/10.1002/14651858.CD004122.Pub5

TURHAN, V. B., TOPCU, R., & YILDIZ, A. (2022). Is There Any Difference Between Shaving Versus Clipping Versus Depilatory Gel Of Hair Removal For Skin Preparation Before Surgery In Respect Of Wound Infection? Journal Of Health Sciences And Medicine, 5(2), 564–567. Https://Doi.Org/10.32322/Jhsm.1025686

Yüksel, S., Kubaş, M., Akyolcu, N., & Durdu, S. (N.D.). Pielęgniarstwo Neurologiczne I Neurochirurgiczne The Journal Of Neurological And Neurosurgical Nursing Is Shaving Hair Necessary In Cranial Surgery?* Czy W Chirurgii Czaszki Konieczne Jest Zgolenie Włosów? Www.Pnn.Wshe.Pl

Gibson C, O’Connor M, White R, Jackson M, Baxi S, Halkett GKB. ‘I Didn’t Even Recognise Myself’: Survivors’ Experiences of Altered Appearance and Body Image Distress during and after Treatment for Head and Neck Cancer. Cancers. 2021 Aug 2;13(15):3893.

Graboyes EM, Hill EG, Marsh CH, Maurer S, Day TA, Hornig JD, et al. Temporal Trajectory of Body Image Disturbance in Patients with Surgically Treated Head and Neck Cancer. Otolaryngol Neck Surg. 2020 Mar;162(3):304–12.

Luther E, Berry K, McCarthy D, Sandhu J, Mayrand R, Guerrero C, et al. Hair-sparing technique using absorbable intradermal barbed suture versus traditional closure methods in supratentorial craniotomies for tumor. Acta Neurochir (Wien). 2020 Apr;162(4):719–27.

Zaimoglu M, Can Alpergin B, Mert Ozpiskin O, Cihan Can K, Ozcelik Eroglu E, Eroglu U. As concepts that should not be thrown out of focus, aesthetic and social appearance anxiety in neurosurgery. Interdiscip Neurosurg. 2022 Dec 1;30:101595.

Sandhya C, Liza C, Devika G, Dilip P, Shejoy JP, Prashant N, et al. Finding Patients’ Perceptions and Attitudes to Neurosurgery: A Qualitative Approach. Journal of Psychosomatic Research. 2024;19(2):379–88.

Arfaie S, Sarabi A, Solgi A, Michaud E, Rohr E, Giampa L, et al. Hair-sparing approach versus traditional hair clipping for cerebral spinal fluid shunt procedures: a retrospective comparative study. Journal of Neurosurgery: Pediatrics. 2024 Nov 15;35(2):158–66.

Neba PM. Body image discontentment among head and neck cancer patients in Visakhapatnam district: An empirical study. Research, Society and Development. 2024 Aug 24;13(8):e9313846524–e9313846524.

Graboyes EM, Maurer S, Balliet W, Li H, Williams AM, Osazuwa-Peters N, et al. Efficacy of a Brief Tele-Cognitive Behavioral Treatment vs Attention Control for Head and Neck Cancer Survivors With Body Image Distress: A Pilot Randomized Clinical Trial. JAMA Otolaryngol-- Head Neck Surg. 2023 Jan 1;149(1):54–62.




DOI: http://dx.doi.org/10.21927/jnki.2025.13(1).85-95

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