Eversion in Dermatologic Surgery: Is Cosmetic Appearance Improved?

University of California, Davis50 enrolled

Overview

The investigators hypothesize that everting wound edges while suturing surgical sites will result in more aesthetic scars. Additionally, we also hypothesize that small to moderate wound irregularities present at 3 months will resolve by 6 months after surgery with no intervention

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

Conditions

Basal Cell Carcinoma Squamous Cell Carcinoma Melanoma

Interventions

Everted suture techniquePROCEDURE

Non-everted suture techniquePROCEDURE

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Over 18 years of age * Able to give informed consent themselves * Willing to return for follow up visits Exclusion Criteria: * Mentally handicapped * Unable to understand written and oral English * Incarceration * Under 18 years of age * Unwilling to return for follow up * Pregnant Women * Wounds less than 3 cm in length

Locations (1)

UC Davis, Department of Dermatology

Sacramento, California, United States

Outcomes

Primary Outcomes

Everted versus non-everted suturing techniques

Primary outcome measures for this study are the post operative scar width measured at 1 cm from the midline on both sides of the scar.

Time frame: 3 and 6 months

Mean score of sum of 2 blinded observers POSAS scores

The mean summed total of two blinded reviewers Physician Observer Scar Assessment Scale (POSAS) scores for each side of the wound.

Time frame: 3 and 6 months

Scar measurements (height, width, length)

Scar volume will be measured in centimeters on both sides of the wound

Time frame: 3 and 6 months

Scar induration

Scar induration area will be measured in centimeters for both sides of the wound

Time frame: 3 and 6 months

Scar erythema

Scar erythema area will be measured in centimeters for both sides of the wound

Time frame: 3 and 6 months

Wound contour irregularities

Wound contour irregularities will be measured in terms of volume in cubic centimeters via a length, width and height measurement

Time frame: 3 and 6 months

Stand cone volume

The volume of standing cones will be measured via length, width and height measurements in centimeters

Time frame: 3 and 6 months

Uneven edge measurement

The area of uneven edges will be measured via a length x height measurement in centimeters

Data from ClinicalTrials.gov

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Eversion in Dermatologic Surgery: Is Cosmetic Appearance Improved?

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes