Document Detail

A novel foil flip-over system as the final layer in wound closure: excellent cosmetic results and patient comfort.
MedLine Citation:
PMID:  22816519     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Wound closure after excision is commonly done with sutures or staples. A new sutureless innovative wound closure system is available for sutureless skin closure.
OBJECTIVE: To evaluate wound healing, patient comfort, and cosmetic results of a foil flip-over system for excision of small skin lesion.
MATERIALS AND METHODS: Patients presenting to the department of Dermatology of Erasmus University Medical Center, Rotterdam, The Netherlands for skin surgery during a 1.5-year period were prospectively studied. Key outcome measures were wound healing, patient comfort, and cosmetic results. Three independent physicians scored photographs of the scars. Evaluation tools used were comfort and body image questionnaires and visual analogue scales.
RESULTS: Ninety-six patients with 103 lesions were included in our study. The surgeon scored wound healing as excellent or good in 96%. No wound infections occurred. Ninety-two percent of patients scored removal of the system as comfortable. Median patient grade of scar after 1 month was 8 out of 10 points (interquartile range [IQR] 7-9). Median independent physician grade of photographs of the scars was 7.7 (IQR 7.1-8.0).
CONCLUSION: Sutureless foil flip-over is promising, with excellent patient comfort characteristics and good to excellent cosmetic results.
Eva Barbara Deerenberg; Hedwig Josephine Goyen; Ruth Kaufmann; Johannes Jeekel; Kai Munte
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Publication Detail:
Type:  Journal Article     Date:  2012-07-23
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  38     ISSN:  1524-4725     ISO Abbreviation:  Dermatol Surg     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-31     Completed Date:  2013-01-07     Revised Date:  2014-04-04    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1829-34     Citation Subset:  IM    
Copyright Information:
© 2012 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.
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MeSH Terms
Aged, 80 and over
Cicatrix / etiology,  pathology
Dermatologic Surgical Procedures*
Middle Aged
Wound Closure Techniques* / adverse effects,  instrumentation
Wound Healing
Young Adult

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