Comparison of Traditional Superficial Cutaneous Sutures vs. Adhesive Strips in Layered Dermatologic Closures on the Back — A Prospective, Randomized, Split-Scar Study

Summary and Comment |
March 18, 2016

Comparison of Traditional Superficial Cutaneous Sutures vs. Adhesive Strips in Layered Dermatologic Closures on the Back — A Prospective, Randomized, Split-Scar Study

  1. Murad Alam, MD, MSCI

Even use of epidermal sutures is not superior to that of adhesive alone, when undermining and deep sutures are used, even in a high-tension anatomic area.

  1. Murad Alam, MD, MSCI

Yang and Ozog compared the utility of epidermal adhesive strips with the utility of interrupted epidermal sutures, when each option was paired with use of buried vertical mattress sutures for dermal-subcutaneous closure of surgical excisions of the back.

In 10 patients with closures at least 3 cm in length, appearance as rated by a blinded assessor using the Patient Observer Scar Assessment Scale and patient satisfaction were superior in the adhesive group at 2 weeks. However, scale-based appearance no longer differed between groups at 3 or 6 months.

Comment

This investigation extends the work of Eisen and colleagues (see NEJM JW Dermatol Apr 2016 and Dermatol Surg 2015; 41:1257) by focusing on a single anatomic area — the back —- and by comparing adhesive strips to epidermal sutures, not just to no epidermal treatment. Yang and Ozog find that even use of epidermal sutures is not superior to that of adhesive alone, when undermining and deep sutures are used, even in a high-tension anatomic area.

Editor Disclosures at Time of Publication

  • Disclosures for Murad Alam, MD, MSCI at time of publication Consultant / Advisory board Amway Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)

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