The Effect of Wound Edge Eversion on Cosmesis
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Surgical Incisions |
Procedure: Eversion Procedure: Approximation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | The Effect of Wound Edge Eversion on Cosmesis |
- Cosmetic result of surgical incision as measured by VAS scale [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Cosmetic Results as measured by the Stony Brook Scar Scale [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 64 |
| Study Start Date: | January 2008 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: 1 |
Procedure: Eversion
Surgical incisions will be closed in such a manner so as to evert the wound edges.
Other Name: mattress sutures
|
| Active Comparator: 2 |
Procedure: Approximation
Surgical incisions will be closed in such a manner so that wound edges are approximated exactly, i.e. without eversion.
Other Name: simple suture
|
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts 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.
Contacts and Locations| United States, New York | |
| Stony Brook University Medical Center | |
| Stony Brook, New York, United States, 11794 | |
| Principal Investigator: | Adam Singer, MD | Stony Brook University |
More Information
No publications provided
| Responsible Party: | Adam Singer, research director, Stony Brook University |
| ClinicalTrials.gov Identifier: | NCT00872638 History of Changes |
| Other Study ID Numbers: | 20076828 |
| Study First Received: | March 28, 2009 |
| Last Updated: | December 22, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Stony Brook University:
|
wound edge eversion cosmetic outcomes surgical incisions |
ClinicalTrials.gov processed this record on May 21, 2013