Dermal Suturing Only Versus Layered Cutaneous Closure

University of California (UC) Davis

Status: Completed

Conditions: Wound Closure Techniques

Treatments: Procedure: Dermal Suturing Only Wound Closure; Procedure: Layered Cutaneous Wound Closure

Study type: Interventional

Funder types: Other

Identifiers

NCT02383186

614521

Details and patient eligibility

About

The purpose of this study is to determine whether a single layer dermally sutured wound results in superior outcomes to a layered closure.

Full description

The purpose of this study is to determine whether a single layer dermally sutured wound results in superior outcomes to a layered closure. Our aims are to compare outcomes using a split wound model, where half the wound is sutured with one technique and the other half is sutured with the other. This will be measured via the physician observer scar assessment scale, a validated scar instrument and via wound width. Our hypothesis is that wounds with a single layer closure will result in cosmetically superior wound outcomes.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Able to give informed consent themselves
• Patient scheduled for cutaneous surgical procedure with predicted linear closure
• Willing to return for follow up visits

Exclusion criteria

• Mentally handicapped
• Incarceration
• Pregnant Women
• Wounds with predicted closure length less than 3 cm
• Wounds unable to be fully closed via primary closure

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Dermal Suturing Only Wound Closure

Active Comparator group

Description:

The side assigned to dermal suturing only will be closed with a single layer of deep absorbable sutures. The method will be buried vertical mattress or set-back suturing at the surgeons discretion.

Treatment:

Procedure: Layered Cutaneous Wound Closure

Procedure: Dermal Suturing Only Wound Closure

Layered Cutaneous Wound Closure

Active Comparator group

Description:

The side assigned to layered closure is closed with 5-0 fast acting gut.

Treatment:

Procedure: Layered Cutaneous Wound Closure

Procedure: Dermal Suturing Only Wound Closure