Aesthetic Outcome of Intra-dermal Versus Transcutaneous Purse-string Closure
Aesthetic Outcome of Intra-dermal Versus Transcutaneous Purse-string Closure: a Randomized Evaluator-blinded Split-wound Comparative Effectiveness Trial
University of California, Davis
73 participants
Oct 14, 2025
INTERVENTIONAL
Conditions
Summary
The purpose of this study is to determine whether intra-dermal versus transcutaneous purse-string closures have similar scar cosmesis and post-operative complications. The investigators will use a split wound model, where half of the wound will be closed with intra-dermal purse-string sutures and the other half will be closed with a transcutaneous purse-string sutures. Three-months post-surgery, the scar will be evaluated via the patient observer scar assessment scale (POSAS), a validated scar instrument, as well as the trace-to-tape method, an objective outcome measure for linear postoperative scars. Any adverse events will also be recorded.
Eligibility
Inclusion Criteria4
- years of age or older
- Able to give informed consent themselves
- Patient scheduled for cutaneous surgical procedure on the head, neck, trunk, or extremities with predicted purse-string closure.
- Willing to return for follow up visit
Exclusion Criteria3
- Incarceration
- Under 18 years of age
- Pregnant Women
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Interventions
Sutures are placed below the skin surface around a circular surgical wound, and the ends are cinched together like a coin purse.
Sutures are placed through the skin surface around a circular surgical wound, and cinched together like a coin purse.
Locations(1)
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NCT06448481