Comparing Scar Appearance and Healing of Intra-dermal Versus Transcutaneous Purse-string Sutures in Surgical Wounds A Randomized Split-Wound Study

What this Trial Is About

This research aims to compare two types of purse-string closures used to close circular surgical wounds intra-dermal and transcutaneous. The study focuses on scar appearance and post-operative complications, using a split wound model where each participants wound is closed by both methods on different halves. Researchers want to see if these two closure techniques result in similar cosmetic outcomes and safety profiles using validated scar assessment tools. Participants will have their surgical wounds closed with both techniques, one on each half of the wound, with the side assignments randomized. Intra-dermal purse-string closure involves placing sutures under the skin surface, while transcutaneous purse-string closure places sutures through the skin surface. Both are cinched like a coin purse to close the wound. This study uses a randomized, evaluator-blinded design to compare the effectiveness of these methods. Participants will be followed for three months post-surgery, during which the scars will be evaluated using the Patient Observer Scar Assessment Scale POSAS and the trace-to-tape method to measure scar width. Researchers will also monitor and record any complications or adverse events during this time. The study requires participants to return for a follow-up visit to assess these outcomes and complete the study involvement.

Aesthetic Outcome of Intra-dermal Versus Transcutaneous Purse-string Closure