Dermal suture only versus layered closure: A randomized, split wound comparative effectiveness trial - 09/11/19
Abstract |
Background |
Layered closure of cutaneous wounds is a commonly used surgical practice. However, there are studies that suggest the additional layer of epidermal sutures might not be necessary.
Objective |
To compare scar outcomes between the single-layer deep-dermal suture technique and the conventional layered suture technique for primary closure of cutaneous wounds.
Methods |
A total of 49 patients were enrolled in a prospective, randomized, evaluator-blinded, split scar study to compare the conventional bilayered closure technique with the single-layer deep-dermal suturing technique for primary closure of wounds. The primary outcome measure was mean sum Patient and Observer Scar Assessment Scale (POSAS) score at 3 and 12 months.
Results |
At the 3-month follow-up, there was a statistically significant difference in the mean total POSAS scores for both the blinded observer and patients, indicating a preference for the side with the standard layered closure. However, at the 12-month follow-up, this difference was lost, with the exception of scar color, which was significantly more noticeable on the wound side closed with only dermal sutures.
Limitation |
Single-center study.
Conclusion |
Three months after surgery, the layered closure technique resulted in a slightly better scar outcome than the single-layered closure containing only dermal sutures. At 12-months' follow-up, this difference diminished, with scars for both sides appearing similar.
Le texte complet de cet article est disponible en PDF.Key words : scar, skin surgery, suture technique, wound closure
Abbreviationused : POSAS
Plan
Funding sources: None. |
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Conflicts of interest: None disclosed. |
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Reprints not available from the authors. |
Vol 81 - N° 6
P. 1346-1352 - décembre 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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