TY - JOUR
T1 - Does wound eversion improve cosmetic outcome?
T2 - Results of a randomized, split-scar, comparative trial
AU - Kappel, Stefani
AU - Kleinerman, Rebecca
AU - King, Thomas H.
AU - Sivamani, Raja K
AU - Taylor, Sandra
AU - Nguyen, Uyenthao
AU - Eisen, Daniel B
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Background Wound edge eversion has been hypothesized to improve aesthetic outcomes after cutaneous wound closure. Data supporting this assertion are sparse. Objective We sought to determine if wound eversion, achieved with interrupted subcuticular sutures, improves aesthetic outcome compared with planar closures. Methods We undertook a prospective, randomized, split-scar intervention in patients who underwent cutaneous surgery. Half of the wound was randomized to an everted or planar repair; the other side received the opposite one. At 3- and 6-month follow-up, both the patient and 2 blinded observers evaluated the wound using the Patient Observer Self-Assessment Scale (POSAS). Results The total observer POSAS score for the everted (13.59, 12.26) and planar (12.91, 12.98) sides did not differ significantly at 3 or 6 months, respectively. Similarly, there was not a significant difference in patient assessment between the everted (16.23, 12.84) and planar (15.07, 12.79) sides at 3 or 6 months, respectively. Finally, there was no significant difference between the 2 closure methods in terms of scar height or width at follow-up. Limitations This was a single-center trial, which used a validated but still subjective scar assessment instrument. Conclusion Wound eversion was not significantly associated with improved overall scar assessments by blinded observers or patient assessment.
AB - Background Wound edge eversion has been hypothesized to improve aesthetic outcomes after cutaneous wound closure. Data supporting this assertion are sparse. Objective We sought to determine if wound eversion, achieved with interrupted subcuticular sutures, improves aesthetic outcome compared with planar closures. Methods We undertook a prospective, randomized, split-scar intervention in patients who underwent cutaneous surgery. Half of the wound was randomized to an everted or planar repair; the other side received the opposite one. At 3- and 6-month follow-up, both the patient and 2 blinded observers evaluated the wound using the Patient Observer Self-Assessment Scale (POSAS). Results The total observer POSAS score for the everted (13.59, 12.26) and planar (12.91, 12.98) sides did not differ significantly at 3 or 6 months, respectively. Similarly, there was not a significant difference in patient assessment between the everted (16.23, 12.84) and planar (15.07, 12.79) sides at 3 or 6 months, respectively. Finally, there was no significant difference between the 2 closure methods in terms of scar height or width at follow-up. Limitations This was a single-center trial, which used a validated but still subjective scar assessment instrument. Conclusion Wound eversion was not significantly associated with improved overall scar assessments by blinded observers or patient assessment.
KW - cosmesis
KW - eversion
KW - inverted vertical mattress suture
KW - Patient Observer Self-Assessment Scale
KW - set-back suture
KW - surgical scars
UR - http://www.scopus.com/inward/record.url?scp=84929503639&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929503639&partnerID=8YFLogxK
U2 - 10.1016/j.jaad.2014.11.032
DO - 10.1016/j.jaad.2014.11.032
M3 - Article
C2 - 25619206
AN - SCOPUS:84929503639
VL - 72
SP - 668
EP - 673
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
SN - 0190-9622
IS - 4
ER -