Management of Head Wounds with Hematoma

Closure Methods

The American College of Surgeons recommends using continuous subcuticular suturing technique to reduce superficial wound dehiscence compared to interrupted sutures, and sutures provide extended support for healing when using materials that retain 50-75% of their tensile strength after one week 1
The American Heart Association suggests checking for signs of skull fracture or deeper injury, and for large or expanding hematomas, evacuation may be necessary prior to wound closure 2

The World Health Organization recommends using monofilament sutures to reduce bacterial seeding and infection risk, and monitoring for signs of infection including increasing pain, redness, swelling, or discharge 3
The Centers for Disease Control and Prevention suggests using triclosan-coated antimicrobial sutures for wounds at high risk of infection 4

The American College of Surgeons recommends removing staples or non-absorbable sutures within 7-10 days, and following up within 24 hours to ensure proper healing, and monitoring for wound dehiscence, which is less common with continuous subcuticular sutures than with interrupted sutures 1