Set-back versus buried vertical mattress suturing: Results of a randomized blinded trial

Wang, Audrey S.; Kleinerman, Rebecca; Armstrong, April W.; Fitzmaurice, Sarah; Pascucci, Anabella; Awasthi, Smita; Sivamani, Raja K; King, Thomas H.; Eisen, Daniel B.

doi:10.1016/j.jaad.2014.07.018

Cited by 40 publications

(37 citation statements)

References 16 publications

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“…Split-scar models have been used in the past to assess cuticular suturing techniques. [2][3][4] Ethical approval was obtained through the University of California, Davis Institutional Review Board before study commencement, and all patients provided verbal and written informed consent to enrollment. The trial protocol can be found in the Supplement.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Running Cutaneous Suture Spacing During Linear Wound Closures and the Effect on Wound Cosmesis of the Face and Neck

et al. 2019

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Section: Methodsmentioning

confidence: 99%

Comparison of Running Cutaneous Suture Spacing During Linear Wound Closures and the Effect on Wound Cosmesis of the Face and Neck

et al. 2019

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“…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. Although this use is not currently the standard, it has significant implications as it may save surgeons time and the cost of the adhesive strips or additional sutures.…”

Section: Discussionmentioning

confidence: 53%

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

et al. 2015

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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

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“…Total scores range from 6 to 60 with the lower score indicate a better outcome. When used with two blinded observers, it has proven to be a valid outcome measure . Both the patient and the physician provide an overall opinion, but it is not used in calculating the overall POSAS score.…”

Section: Methodsmentioning

confidence: 99%

“…There are limited data comparing the final cosmetic scar results of traditional fully AR verses AFR, and future research is complicated by the challenge of reporting varied subjective values, such as scar appearance, in an objective, statically significant way. The Patient Observer Self‐Assessment Scale (POSAS) has become a tool for physicians and patients to objectively rate the performance of scar treatments and preventions .…”

Section: Introductionmentioning

confidence: 99%

Fractionated Er:YAG laser versus fully ablative Er:YAG laser for scar revision: Results of a split scar, double blinded, prospective trial

et al. 2016

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Although this study is limited by a short follow-up period, it shows a statistically significant superior outcome in fractionated Er:YAG over fully ablative Er:YAG for scar revision. It also adds quantitative values to the assessment of scar appearance when treated with fractionated lasers compared to fully ablative lasers. It was also found that the fractionated Er:YAG had increased patient satisfaction, but there was no difference in reported pain scores. These data are useful when counseling patients undergoing laser surgery. Lasers Surg. Med. 48:837-843, 2016. © 2016 Wiley Periodicals, Inc.

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Set-back versus buried vertical mattress suturing: Results of a randomized blinded trial

Cited by 40 publications

References 16 publications

Comparison of Running Cutaneous Suture Spacing During Linear Wound Closures and the Effect on Wound Cosmesis of the Face and Neck

Comparison of Running Cutaneous Suture Spacing During Linear Wound Closures and the Effect on Wound Cosmesis of the Face and Neck

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

Fractionated Er:YAG laser versus fully ablative Er:YAG laser for scar revision: Results of a split scar, double blinded, prospective trial

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