Intraoperative Dermabrasion in Mohs Surgery: A Randomized Split-Scar Trial
University of Wisconsin, Madison
Summary
The purpose of this study is to determine the potential influence of intraoperative dermabrasion on scars following Mohs Micrographic Surgery (MMS). Researchers are trying to determine if dermabrasion, a method to gently remove the top layer of your skin, is a good or bad tool to improve scar appearance after healing. The use of dermabrasion technique in this study is considered investigational. 50 participants will be enrolled and on study for up to 6 months.
Description
Primary Objective: Scar assessment at 3 months postoperatively by utilizing observer component of Patient and Observer Scar Assessment Scale (POSAS) Secondary Objectives: * Patient portion of POSAS * Overall patient opinion of scar appearance * Complication rate
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Able to give informed consent themselves * Scheduled for cutaneous surgical procedure on the face or neck with predicted linear closure greater than 4 centimeters. * Willing to return for follow up visit within the evaluation period Exclusion Criteria: * Patients with impaired decision-making capacity * Significant vision or hearing impairments * Pregnant Individuals * Incarceration * Wounds with predicted closure length less than 4 cm
Interventions
- ProcedureDermabrasion
First, both sides of the wound will be sutured together with a subcutaneous (bottom) layer of stitches. Next, a predetermined, concealed randomization number will be obtained which will specify which side, A or B, will be treated with dermabrasion. An electrocautery scratch pad will be used along the wound edge of the intervention side until pin-point bleeding is achieved. This will add no additional time to the standard of care surgery time. The wound will then be closed with an epidermal (top) layer of stitches, as is the standard of care.
Location
- UW Health Mohs Surgery ClinicMadison, Wisconsin