Does wound eversion improve cosmetic outcome? : Results of a randomized, split-scar, comparative trial - 14/03/15
Abstract |
Background |
Wound edge eversion has been hypothesized to improve aesthetic outcomes after cutaneous wound closure. Data supporting this assertion are sparse.
Objective |
We sought to determine if wound eversion, achieved with interrupted subcuticular sutures, improves aesthetic outcome compared with planar closures.
Methods |
We undertook a prospective, randomized, split-scar intervention in patients who underwent cutaneous surgery. Half of the wound was randomized to an everted or planar repair; the other side received the opposite one. At 3- and 6-month follow-up, both the patient and 2 blinded observers evaluated the wound using the Patient Observer Self-Assessment Scale (POSAS).
Results |
The total observer POSAS score for the everted (13.59, 12.26) and planar (12.91, 12.98) sides did not differ significantly at 3 or 6 months, respectively. Similarly, there was not a significant difference in patient assessment between the everted (16.23, 12.84) and planar (15.07, 12.79) sides at 3 or 6 months, respectively. Finally, there was no significant difference between the 2 closure methods in terms of scar height or width at follow-up.
Limitations |
This was a single-center trial, which used a validated but still subjective scar assessment instrument.
Conclusion |
Wound eversion was not significantly associated with improved overall scar assessments by blinded observers or patient assessment.
Le texte complet de cet article est disponible en PDF.Key words : cosmesis, eversion, inverted vertical mattress suture, Patient Observer Self-Assessment Scale, set-back suture, surgical scars
Plan
| Supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through grant #UL1 TR000002. |
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| Conflicts of interest: None declared. |
Vol 72 - N° 4
P. 668-673 - avril 2015 Retour au numéro
Article précédent
- Incidence and risk of xerosis with targeted anticancer therapies
- Johannah Valentine, Viswanath Reddy Belum, Juanita Duran, Kathryn Ciccolini, Katja Schindler, Shenhong Wu, Mario E. Lacouture
- Set-back versus buried vertical mattress suturing: Results of a randomized blinded trial
- Audrey S. Wang, Rebecca Kleinerman, April W. Armstrong, Sarah Fitzmaurice, Anabella Pascucci, Smita Awasthi, Mondhipa Ratnarathorn, Raja Sivamani, Thomas H. King, Daniel B. Eisen
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