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Wound eversion not associated with improved cosmetic outcomes

Researchers found wound eversion was not significantly associated with overall scar improvement in a randomized, split-scar intervention involving cutaneous surgery patients.

Among the patients’ wounds included in the study, the researchers randomly assigned one side of the cutaneous surgery wounds to receive either an everted or planar repair; the other side then received the opposite procedure. Follow-up occurred at 3 months and 6 months, at which time two blinded observers used the Patient Observation Self-Assessment Scale (POSAS) to evaluate the wounds.

The researchers found no significant favorability in vascularity, pigmentation, thickness, relief, pliability, surface area or overall opinion at either of the two follow-up time points. Additionally, the patient POSAS scores did not differ between the two wound closure methods based on pain, pruritus, color, stiffness, thickness, irregularity and overall impression, according to the researchers.

Findings showed that by 3 months, scar depth was 0 in nearly all patients, regardless of the closure method used. – by Abigail Sutton

Disclosure: The authors have no relevant financial disclosures.