“…Because there is often severe trauma to the vessels within the zone of injury (requiring a significant amount of length to be cut back), many authors have recommended the use of interposed vein grafts when replanting the scalp to provide adequate length for a tension-free anastomosis (9,10,18,19). While this certainly increases the length of the vessels, making for an easier anastomosis, it also has the drawbacks of doubling the number of anastomoses that can leak, clot or fail during the postoperative period; creating surgical complications in the area of harvest; and increasing ischemia time due to the time required for harvest, preparation and the extra anastomoses.…”