Surgical Technique for Scarring
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a technique to reduce scarring after surgery on the neck, trunk, arms, or legs. It compares two methods of closing surgical cuts: standard stitches and stitches with apical undermining, which involves loosening the skin around the wound's tips to reduce tension. The goal is to determine if this extra step results in better-looking scars. This trial suits individuals scheduled for surgery in these areas and willing to return for a follow-up visit. As an unphased trial, it offers the opportunity to contribute to innovative research that could enhance surgical outcomes for future patients.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this surgical technique is safe for reducing scarring?
Research has shown that a surgical technique called apical undermining might improve scar healing by reducing skin tension. However, limited data from human studies confirm its effectiveness and safety. Some studies suggest that loosening the skin around wound edges can result in less noticeable scars.
As this technique remains under investigation, researchers continue to assess its safety and effectiveness. By joining clinical trials like this one, participants help researchers determine if the treatment is safe and beneficial for everyone.12345Why are researchers excited about this trial?
Researchers are excited about the trial for apical undermining in surgical wound closure because it offers a potentially improved technique for minimizing scarring. Unlike the standard practice of simply stitching wounds closed, this method involves strategically loosening the tissues beneath the skin (apical undermining) to reduce tension at the wound's edges. By potentially decreasing scar formation, this technique could enhance healing outcomes and provide patients with less noticeable scars, addressing a common concern with current surgical procedures.
What evidence suggests that apical undermining is effective for reducing scarring?
This trial will compare two surgical techniques for wound closure. One group will use standard Linear Wound Closure, while the other will use Linear Wound Closure with Apical Undermining. Research has shown that apical undermining, which involves loosening and moving tissue around a wound, might reduce scarring by easing the pull on the skin. This method may improve scar appearance, as some studies suggest that less tension at the wound edges can lead to better cosmetic results. However, few large, well-controlled studies in humans have confirmed its effectiveness. Despite this, experts believe this method could be beneficial, and many patients are interested in any improvements in scarring after surgery.16789
Who Is on the Research Team?
Daniel Eisen, MD
Principal Investigator
University of California, Davis - Dermatology
Are You a Good Fit for This Trial?
This trial is for adults over 18 who are scheduled for skin surgery on the neck, trunk, or limbs and can return for follow-up. They must understand English and give consent. Pregnant women, those under 18, prisoners, or with very small wounds (<3cm) cannot join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo surgical wound closure with or without apical undermining
Follow-up
Participants are monitored for scar assessment and complications
What Are the Treatments Tested in This Trial?
Interventions
- Apical Undermining
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, Davis
Lead Sponsor