Set-back Suture Versus Traditional Vertical Mattress Suture
The investigators hope to compare two different methods of closing skin wounds using sutures. One of these methods (the set-back technique) was recently described in 2010 and has been reported to be technically easier and reduces the chance of spitting sutures (deep sutures that are pushed to the surface of the skin as the wound heals). The other method (the vertical mattress technique) has been used for many years with good results. However, no controlled studies have been performed to clearly demonstrate a difference between the two methods. We hope to find differences in the height of the wound edges immediately after surgery(5 minutes following the procedure) as well as the appearance of the scar and symptoms associated with the scar 3 months after surgery.
Basal Cell Carcinoma
Squamous Cell Carcinoma
Procedure: Set-back suture
Procedure: Vertical mattress suture
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Primary Purpose: Supportive Care
|Official Title:||Comparing Wound Eversion and Clinical Outcomes in Surgical Wound Repair With Subcuticular Set-back Versus Traditional Vertical Mattress Suturing Techniques|
- Mean of sum of 2 blinded reviewers Physician Observer Assessment scores [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Compare the functional and cosmetic outcomes of the two sutured halves of each scar at 3 months follow-up as follows:
a. Use a previously validated scar assessment scale called the Patient and Observer Scar Assessment Scale, specifically the averaged sum of the total score of 2 blinded observers.
- Scar width [ Time Frame: 3 months ]Width of scar in millimeters for each side of scar measured 1 cm from the midline.
- Height of scar immediately following wound closure [ Time Frame: 5 minutes ] [ Designated as safety issue: No ]Height of each side of the wound will be measured 1 cm from the midpoint of the wound in millimeters
|Study Start Date:||August 2011|
|Estimated Study Completion Date:||June 2013|
|Estimated Primary Completion Date:||June 2013 (Final data collection date for primary outcome measure)|
Active Comparator: Set-back suture
Wound to be close by set-back suture technique.
|Procedure: Set-back suture|
Active Comparator: Vertical mattress suture technique
Wound to be closed by vertical mattress technique.
|Procedure: Vertical mattress suture|
|United States, California|
|UC Davis, Department of Dermatology|
|Sacramento, California, United States, 95816|
|Principal Investigator:||Daniel Eisen, M.D.||University of California, Davis|