Neurosurgeons perform operations every day, many of which involve the scalp
. There is evidence supporting similar or decreased wound infection rates i
n the unshaven scalp. Patients with standard scalp incisions were assigned
to either shave or shave-less preparations (n = 20). The timing of preparat
ion and skin closure was recorded for both groups as were infectious compli
cations. All of the patients have been followed for an average months. Ther
e were no cases of infection. The timing of scalp preparation and closure w
as not significantly different between the two groups (P < .05). We have pr
eviously suggested that shaving the scalp is not a critical step in the pre
vention of infection. We confirm that the timing of this technique is not p
rolonged over that of standard preparations.