Undermining Apices in Surgical Wounds

Part of paid clinical trials in Sacramento, California.

Sponsor
University of California, Davis
Study ID
NCT05758181
Status
Enrolling By Invitation

Conditions

  • Scarring

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Apical Undermining — OTHER
    The skin at the tip of the wound will be freed to reduce tension.

Study Details

When patients have surgery on the neck, trunk, arms, or legs, stitches are the standard way to close the wound. Wounds always result in a scar, but doctors are always looking for ways to reduce scarring. Several studies have been done to test ways to close wounds that reduce scarring. One idea is to reduce the tension around the cut. One way to reduce tension is to free up the skin around the wound. This procedure is also called "undermining". Some studies have shown that freeing up the skin near the tips of the wound, called the "apices," is helpful for improving the cosmetic outcome of scars. This study will investigate if there are any differences in the appearances of the scar if one tip is undermined and the other is not.

Key Dates

Start date
Aug 9, 2023
Status verified
Feb 2026
Primary completion
Dec 31, 2026
Completion
Mar 31, 2027

Study Design

Enrollment
50 participants (estimated)
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
OTHER

Arms

  • No Intervention: Linear Wound Closure
    A cutaneous layer of sutures will be placed on one side, as is standard of care.
  • Experimental: Linear Wound Closure with Apical Undermining
    The other side of the wound will have a cutaneous layer of sutures, as is standard of care, and will receive apical undermining.

Primary Outcome Measure

Observer Scar Assessment as measured by Patient Observer Scar Assessment Score (POSAS) [ Time Frame: 3 months ]

Locations (1)

FacilityCityStateZIPSite coordinators
University of California, Davis - Dermatology DepartmentSacramentoCalifornia95816-

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By research site
University of California, Davis - Dermatology Department· Sacramento, CA

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