Aesthetic outcome of running subcuticular suture versus running horizontal mattress suture in closure of linear wounds of the trunk and extremities: A randomized evaluator-blinded split-wound comparative effectiveness trial - 19/09/24
, Mohammad Saffari Doost, BA, Michelle Vy, MD, Melissa Danesh, MD, Daniel B. Eisen, MDAbstract |
Background |
Both running horizontal mattress (HM) and running subcuticular (SQ) suturing techniques have been suggested to be superior to other running cuticular suturing techniques. These 2 techniques have not been directly compared.
Objective |
To compare cosmetic outcomes between a running HM and a running SQ technique in a split scar model following linear closure of trunk and extremity defects.
Methods |
Fifty patients were enrolled in a randomized, evaluator-blinded, split-scar study. One side of the surgical wound was randomized to receive one intervention (HM vs SQ) with the other side receiving the alternate intervention. The primary outcome was the Patient and Observer Scar Assessment Scale (POSAS) score at a minimum of 3 months postoperatively.
Results |
Observer POSAS sum of components was 19.49 and 17.76 for HM and SQ, respectively (P = .14). The mean score for patient overall opinion was 4.71 for HM and 3.50 for the SQ technique (P = .02). Overall opinion scores of evaluators were 3.87 and 3.29 for HM and SQ, respectively (P = .03).
Limitations |
Single-center study of a relatively homogenous population.
Conclusion |
Although there was no significant difference in the sum of POSAS components between HM and SQ (P = .14), both patients and evaluators had a superior overall opinion of the SQ-treated side (patient P = .02, evaluator P = .03).
Le texte complet de cet article est disponible en PDF.Key words : POSAS, running horizontal mattress, running subcuticular, scar cosmesis, split wound, surgery
Abbreviations used : HM, POSAS, SQ
Plan
| Funding sources: None. |
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| Patient consent: Consent for the publication of recognizable patient photographs or other identifiable material was obtained by the authors and included at the time of article submission to the journal stating that all patients gave consent with the understanding that this information may be publicly available. |
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| IRB approval status: Reviewed and approved by UC Davis IRB; approval #1813469-1. |
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| Novel research: Not previously published. |
Vol 91 - N° 4
P. 684-689 - octobre 2024 Retour au numéro
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