Suturing Techniques for Skin Graft Scars
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores the best method for stitching skin grafts after dermatologic surgery to determine which technique results in better-looking scars. Participants will have one half of their scar treated with the running epidermal suture (Running Suturing Technique) and the other half with the simple interrupted suture (Simple Interrupted Suturing Technique) to compare results. Individuals who have undergone a full-thickness skin graft to close a wound from skin surgery may be suitable for this study. As an unphased trial, it offers participants the chance to contribute to valuable research that could enhance future surgical outcomes.
What prior data suggests that these suturing techniques are safe for skin graft scars?
Research has shown that both running and simple interrupted stitching methods are generally safe for skin grafts. Studies have found that continuous (running) stitches reduce the risk of the wound reopening compared to interrupted stitches. Infection rates do not significantly differ between these two methods.
Additionally, reviews of full-thickness skin graft techniques reveal no noticeable differences in important outcomes, such as graft adherence or complications like blood pooling under the skin or infection.
Overall, both stitching methods are well-tolerated by patients, offering similar safety levels regarding pain, scarring, and patient satisfaction.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it compares two different suturing techniques—Running Suturing Technique and Simple Interrupted Suturing Technique—for skin graft scars. These techniques might affect how well the scar heals and how it looks afterward. By understanding which method leads to better cosmetic outcomes, the trial aims to improve patient satisfaction and healing times. This could potentially enhance the current standard of care for managing skin graft scars.
What evidence suggests that these suturing techniques are effective for skin graft scars?
This trial will compare the effectiveness of two suturing techniques for skin graft scars: the Running Suturing Technique and the Simple Interrupted Suturing Technique. Research has shown that both methods are effective for skin grafts. Studies have found that the appearance of a scar can depend on the stitching method used. The Simple Interrupted method is commonly used and effectively closes wounds, with stitch marks typically fading within 90 days. The Running method is also suitable, and some research suggests it might be equally effective in terms of scar appearance. Both methods are acceptable, and the choice may depend on the specific situation and the surgeon's preference. Participants in this trial will be assigned to one of the two techniques to evaluate their effectiveness.678910
Who Is on the Research Team?
Victoria R Sharon, MD
Principal Investigator
Northwell Dermatology
Are You a Good Fit for This Trial?
This trial is for patients who are getting a full-thickness skin graft as part of dermatologic surgery, like Mohs micrographic surgery or excision. The study will compare the cosmetic outcomes of two different suturing techniques on their scars.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Surgery and Suturing
Participants undergo dermatologic surgery with full-thickness skin graft placement using either simple interrupted or running epidermal sutures
Follow-up
Participants are monitored for cosmetic outcomes and complications, including scar assessment using POSAS 2.0
Extended Follow-up
Participants are monitored for long-term complications and overall scar quality
What Are the Treatments Tested in This Trial?
Interventions
- Running Suturing Technique
- Simple Interrupted Suturing Technique
Trial Overview
The trial is testing if running epidermal sutures give similar or better cosmetic results compared to simple interrupted sutures in skin grafts. Each participant's scar will be split; one half gets running sutures and the other half gets interrupted ones, with results checked after 3 months.
How Is the Trial Designed?
2
Treatment groups
Active Control
"A" (superior or left relative to the patient, depending on the shape of the wound)
"B" (inferior or right relative to the patient).
Find a Clinic Near You
Who Is Running the Clinical Trial?
Northwell Health
Lead Sponsor
Citations
Effectiveness
Effectiveness or effectivity [1] is the capability of producing a desired result or the ability to produce desired output.
Evaluation Criteria
The OECD has defined six evaluation criteria – relevance, coherence, effectiveness, efficiency, impact and sustainability – and two principles for their use.
Increased effectiveness of early therapy with anti-tumor ...
early monotherapy with anti-TNFα produced better overall clinical and growth outcomes at 1 year than early monotherapy with an immunomodulator.
What is Home Visiting Evidence of Effectiveness? | Home ...
This video explains how HomVEE reviews research, rates model effectiveness, and determines which models meet criteria for evidence of effectiveness.
Institutional Effectiveness
The Institutional Effectiveness division draws upon the expertise and innovation within the California Community Colleges to advance promising practices.
6.
semanticscholar.org
semanticscholar.org/paper/A-review-of-sutures-and-suturing-techniques.-Moy-Waldman/c72b6809cb2982dc4c1a2ece8068272c6df7791eA review of sutures and suturing techniques.
Proper suturing technique is essential for obtaining good cosmetic results and avoiding scarring and poor wound healing. The ideal suture is strong, ...
7.
jcasonline.com
jcasonline.com/full-thickness-skin-graft-fixation-techniques-a-review-of-the-literature/Full-thickness Skin Graft Fixation Techniques: A Review ...
No significant differences were found between fixation methods for graft take, haematoma rate, and infection rate. No studies have found a significant ...
Comparing Continuous and Interrupted Sutures
Continuous sutures also had a lower risk of dehiscence than interrupted sutures. There was no significant difference in infection rates between the two suture ...
(PDF) Best Skin Suture: Interrupted or Continuous?
Conclusion: Results did not show the difference between two sutures in term of pain and scar width, although the satisfaction of patients with ...
Study Details | NCT00282633 | Wound Closure Techniques
A prospective, observer blinded, randomized, and controlled trial comparing Dermabond closure technique to suture closure of skin. Study ...
Unbiased Results
We believe in providing patients with all the options.
Your Data Stays Your Data
We only share your information with the clinical trials you're trying to access.
Verified Trials Only
All of our trials are run by licensed doctors, researchers, and healthcare companies.