Surgical Incisions
Conditions
Keywords
wound edge eversion, cosmetic outcomes, surgical incisions
Brief summary
Aesthetic appearance of repaired incisions is very important to surgical patients. It has been stated that if the edges of a wound are closed in such a manner that will result in eversion, or pouting of the edges that the end cosmetic result will be superior when compared to wound edges that are simply approximated. The purpose of this study is to compare cosmetic outcomes of incisions that are closed with everted edges to those in which the edges are simply approximated.
Detailed description
Surgical incisions will be split into two halfs and each half will be randomized to standard or everting sutures. 3 months later the cosmetic outcome of the healed wounds will be determined using a validated scar evaluation scale.
Interventions
PROCEDUREEversion
Surgical incisions will be closed in such a manner so as to evert the wound edges.
PROCEDUREApproximation
Surgical incisions will be closed in such a manner so that wound edges are approximated exactly, i.e. without eversion.
Sponsors
Stony Brook University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age over 18. * able to consent. * scheduled for elective plastic or cardiothoracic surgery.
Exclusion criteria
* history of keloids, hypertrophic scarring, diabetes, or peripheral vascular disease. * those requiring systemic steroids or undergoing chemotherapy, and those unable or unwilling to consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cosmetic result of surgical incision as measured by VAS scale | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Cosmetic Results as measured by the Stony Brook Scar Scale | 1 year |
Countries
United States
Outcome results
None listed