Comparing Pressure Versus Simple Adhesive Dressing After Mohs Reconstruction

Dartmouth-Hitchcock Medical Center81 enrolled

Overview

The purpose of this study is to determine whether using a pressure- vs. simple adhesive dressing affects the postoperative course and wound healing outcomes following Mohs surgery.

The investigators will randomize patients undergoing Mohs surgery to receive either a pressure or a simple adhesive dressing following their procedure. The hypothesis is that patients with the simple adhesive dressings will be more satisfied and comfortable with their wound care on follow-up. These patients are also expected to cite greater convenience managing the simple dressing at home. Finally, the investigators anticipate no difference in the number of postoperative complications between the two groups and expect that there will be a lower cost associated with the simple adhesive dressing as compared to the pressure dressing.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Non-melanoma Skin Cancer

Interventions

Pressure DressingOTHER

Patients in this group will receive the standard post-operative bandage: a pressure dressing consisting of high absorbency gauze and retention tape.

Simple Adhesive DressingOTHER

Patients in this group will receive the experimental bandage: a simple adhesive dressing consisting of a non adherent pad and transparent dressing.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Patients will be considered for enrollment if they have been referred to a Mohs surgeon for consideration of Mohs surgery for non-melanoma skin cancer. Exclusion Criteria: * Lack of indication for Mohs * Significant comorbidities * Case of a high-risk location or tumor size which necessitates consultation with other specialties in advance.

Outcomes

Primary Outcomes

Patient Satisfaction

Patients are asked to complete a survey regarding their satisfaction with their post-operative dressing. Surveys will be distributed at their first clinical follow-up visit. They are asked to rate their overall satisfaction and difficulty sleeping, bathing, and returning to normal activity following their Mohs procedure.

Time frame: Assessed at the first clinical follow-up visit, 1-2 weeks following Mohs procedure

Complications

The number of complications requiring medical attention in each arm of the study. These complications include: infection, bleeding, wound dehiscence, splitting or retained stitches, pain, and cosmetic disfigurement.

Time frame: Assessed at the first clinical follow-up visit, 1-2 weeks following Mohs procedure

Data from ClinicalTrials.gov

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