Patients undergoing elective craniotomies for neurosurgical procedures scalp closure, craniotomy, interrupted suture, continuous suture, knotless, bidirectional barbs
Conditions
Interventions
Subcutaneous scalp closure in this group will be performed with double-armed knotless tissue control device (StrataFix, Ethicon Inc.), No. 2/0. The closure will start at the center of surgical wound.
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Bidirectional barb,Standard suture
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age more than or equal 18 years 2. Elective craniotomy 3. ASA physical status I-III 4. Ability to provide informed consent 5. Available for follow-up visits
Exclusion criteria
Exclusion criteria: 1. Emergency procedures 2. Previous scalp surgery at the same site 3. Linear incision or incision length less than 10 cm 4. Infratentorial/posterior fossa surgery 5. Contaminated or infected wound 6. Complex scalp wound requiring complex scalp reconstruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Closure time during scalp closure minute | — |
Secondary
| Measure | Time frame |
|---|---|
| surgical wound infection postoperative day 3 and 7 ASEPSIS score,Scar assessment postoperative day 3 and 7 Vancouver scar,Scar assessment postoperative day 3 and 7 POSAS ,Cosmetic outcome postoperative day 3 and 7 Modified Hollander Cosmesis Scale,Cosmetic outcome postoperative day 3 and 7 Sakka score,Wound complications postoperative day 3 and 7 event rate,Cost after surgery Baht | — |
Countries
Thailand
Contacts
Public ContactRaywat Noiphithak
Department of Surgery, Faculty of Medicine, Thammasat University
Outcome results
None listed