Purpose: The aims of this randomized clinical trial are: 1. to assess scar quality from the patient and surgeon perspectives 2. to assess patient comfort in the days immediately following surgery 3. to assess the time taken to complete closure in the operating room. 4. the financial benefit or cost for the institution of using Steri Strip S will also be estimated. Two closure methods will be compared, a new coaptive film device (Steri Strip S) versus standard subcuticular sutures. The linear incisions will include the standard incision segments utilized for an inverted-T closure for bilateral breast reduction and the transabdominal incision segments utilized for abdominoplasty or TRAM flap harvest. Our hypothesis is that incisions segments closed with Steri Strip S compared to standard subcuticular closure, will yield scars of better cosmetic quality, in shorter time to closure, with novice and expert surgeons, for both bilateral breast reduction and abdominoplasty surgical procedures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
51
wound closure with steri-strip S
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States
Scar Quality at 6 Months Postoperative
Patients used a rating scale with range of 1-9 with 1 being the best scar and 9 being the worst scar. Patients had photos of scars within this range to anchor their choices.
Time frame: 6 months
Time to Perform Wound Closure
Time from completion of deep dermal closure to complete closure of wound, either by steri-strip application or by subcuticular suture
Time frame: intraoperatively
Patient Postoperative Incisional Comfort
Using a comfort scale from 0-10 with 0 being very uncomfortable and 10 being very comfortable
Time frame: 10 days
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