Layered closure versus buried sutures and adhesive strips for cheek defect repair after cutaneous malignancy excision

Plotner, Alisha N.; Mailler-Savage, Erica; Adams, Brian B.; Gloster, Hugh Morris

doi:10.1016/j.jaad.2010.11.007

Cited by 13 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 In addition, a prior study conducted with dermal sutures plus adhesive strips demonstrated excellent results. 16 Our study now shows that the use of dermal sutures only results in similar outcomes compared with the combination of adhesive strips and dermal sutures.…”

Section: Discussionmentioning

confidence: 93%

Effect of Adhesive Strips and Dermal Sutures vs Dermal Sutures Only on Wound Closure

et al. 2015

View full text Add to dashboard Cite

IMPORTANCE Although applying adhesive strips to a wound closure has been shown to have outcomes equivalent to those with cuticular suturing, it is unknown whether adhesive strips provide additional benefit compared with dermal suturing alone. OBJECTIVE To determine whether the addition of adhesive strips to a wound closed with buried interrupted subcuticular sutures improves outcomes following wound closure. DESIGN, SETTING, AND PARTICIPANTS A prospective, randomized split-wound intervention was conducted between November 14, 2013, and May 16, 2014, in patients who underwent cutaneous surgical procedures at the University of California, Davis, outpatient dermatology clinic. Fifty-seven patients 18 years or older with postoperative defects of at least 3 cm, resulting from either Mohs micrographic surgical procedures or surgical excision, were screened for participation. Nine patients were excluded and 48 were enrolled. INTERVENTIONS Half of each wound was randomized to receive buried interrupted subcuticular sutures and overlying adhesive strips and the other half received buried interrupted subcuticular sutures only. MAIN OUTCOMES AND MEASURES At 3 months’ follow-up, each patient and 2 blinded observers evaluated the wound using the Patient Observer Scar Assessment Scale. RESULTS The total mean (SD) Patient Observer Scar Assessment Scale score for observers for the side that received a combination of adhesive strips and buried interrupted subcuticular suturing (12.3 [4.8]) and the side that received sutures only (12.9 [6.3]) did not differ significantly at 3 months (P = .32). There was no significant difference in the total patient assessment scale score between the combination closure (14.0 [7.6]) and sutures only (14.7 [7.6]) sides at 3 months (P = .39). There was also no significant difference between the 2 closure methods in terms of mean (SD) scar width (both methods: 1.1 [0.8] mm, P = .89) at follow-up. CONCLUSIONS AND RELEVANCE Combination closure with adhesive strips and buried interrupted subcuticular suturing was not significantly associated with improved overall scar assessment compared with buried interrupted subcuticular suturing alone when evaluated by blinded observers or the patients themselves. Our results do not support the use of adhesive strips as a means to improve cosmetic outcomes or reduce scar width. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT01979497

show abstract

Section: Discussionmentioning

confidence: 93%

Effect of Adhesive Strips and Dermal Sutures vs Dermal Sutures Only on Wound Closure

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Similar studies have also failed to show scar width differences between techniques . Studies that have shown differences have involved much larger excisions (e.g., for tattoo removal) than would commonly be encountered in the Australian general practice setting.…”

Section: Discussionmentioning

confidence: 95%

“…Previous studies have researched a similar technique, using buried intradermal vertical mattress sutures for the closure of skin wounds without using sutures to close the epidermal layer . These have also found good cosmesis without hatch marks, but with high rates of suture spitting – up to 40%.…”

Section: Discussionmentioning

confidence: 99%

Three suturing techniques for closing fusiform excisions. A randomised controlled study

Ling

Martin

2015

Aust J Dermatology

View full text Add to dashboard Cite

show abstract

“…2 Studies have assessed the use of wound closure strips for the repair of surgical skin incisions and traumatic lacerations, assessing the relative effectiveness compared to other common modalities. [3][4][5] When comparing adhesive strips used with buried sutures to traditional layered closures, no difference was seen in scar contour, erythema and overall cosmesis between the two methods for surgical incisions. 3 In the short term, wound closure strips can show improved cosmetic outcomes and patient satisfaction for certain wounds; however, both methods provide the same long-term cosmetic results.…”

mentioning

confidence: 99%

“…[3][4][5] When comparing adhesive strips used with buried sutures to traditional layered closures, no difference was seen in scar contour, erythema and overall cosmesis between the two methods for surgical incisions. 3 In the short term, wound closure strips can show improved cosmetic outcomes and patient satisfaction for certain wounds; however, both methods provide the same long-term cosmetic results. 4,5 Wound closure strips are therefore sometimes considered a time-and cost-effective alternative to sutures for both traumatic lacerations and surgical incisions.…”

mentioning

confidence: 99%

The effect of Steri-Strip orientation on wound healing: A survey of current applications and trends amongst surgeons

Sardiwalla

Zimmo

Williams

et al. 2018

DMJ

View full text Add to dashboard Cite

Wound closure strips are used in the repair of superficial, low tension wounds, lacerations, and surgical incisions.They represent an inexpensive, easy, and painless way to close such wounds or as an adjunct in a multi-layered closure. There is debate over correct orientation (transverse, oblique, zig-zag or parallel) and importance of wound closure strips relative to the incision.The purpose of this research was to examine the closure techniques amongst Canadian plastic surgeons and current applications of wound closure strips using an online survey circulated to members of the Canadian Society of Plastic Surgery. Participants answered a series of multiple choice and short answer questions regarding their practice,closure techniques and use of wound closure strips.A total of 120 plastic surgeons (30.0%) completed the survey with 89.9% reporting wound closure strips usage. Of respondents who used wound closure strips, 57.2% used them in more than half of all wound closures. Parallel orientation to the wound (52.3%) and per- pendicular orientation (30.8%) were the most common techniques employed, and these were applied in a consistent fashion (90.6%) covering the whole wound (78.1%). Most plastic surgeons agreed there is a need to further study adhesive strips.This survey of Canadian plastic surgeons has demonstrated the variability that exists in wound closure strip application technique, orientation and intended function.These findings suggest further investigation of wound closure strip usage may be needed to help guide clinical practice.

show abstract

Layered closure versus buried sutures and adhesive strips for cheek defect repair after cutaneous malignancy excision

Cited by 13 publications

References 7 publications

Effect of Adhesive Strips and Dermal Sutures vs Dermal Sutures Only on Wound Closure

Effect of Adhesive Strips and Dermal Sutures vs Dermal Sutures Only on Wound Closure

Three suturing techniques for closing fusiform excisions. A randomised controlled study

The effect of Steri-Strip orientation on wound healing: A survey of current applications and trends amongst surgeons

Contact Info

Product

Resources

About