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document
Evaluation of a new wound closure device for linear surgical incisions : 3M Steri-Strip S Surgical Skin Closure versus subcuticular closure . BACKGROUND Technological innovations are often adopted before scientific comparison to an accepted standard . The authors ' study compared suture with a new coaptive film device , 3M Steri-Strip S Surgical Skin Closure , on linear incisions . METHODS Patients undergoing Wise-pattern breast reduction or abdominal procedures had paired incisions randomly assigned to Steri-Strip S or suture closure . Key outcome measures were closure time , patient comfort , and scar quality at 6 months by patients and surgeons using a new scar evaluation tool , visual assessment of linear scars . Statistical differences between the two closure techniques were assessed by Wilcoxon signed rank test . RESULTS Of 59 patients , eight were excluded from randomization ( a surgeon judged Steri-Strip S to be a nonviable closure technique for mismatched wound edges ) . Fifty-one patients ( breast , n = 24 ; abdomen , n = 27 ) were randomized . Operative time with Steri-Strip S for breast was 2.0 minutes ( SD = 1.1 ) versus suture closure at 4.6 minutes ( SD = 1.5 ; p < 0.001 ) . Similarly , Steri-Strip S versus suture for the abdomen was faster ( p < 0.001 ; 4.9 minutes , SD = 2.3 versus 10.1 minutes , SD = 3.4 ) . Comfort scores did not differ between closures [ 5.8 ( SD = 2.7 ) versus 6.9 ( SD = 2.0 ) , respectively , on breast ( p = 0.142 ) and 7.7 ( SD = 1.8 ) versus 7.7 ( SD = 2.3 ) on abdomen ( p = 0.903 ) ] . Complication rates did not differ between closure types . Patients ' visual assessment of linear scars rating of breasts was 3.8 ( SD = 2.9 ) for Steri-Strip S and better at 2.6 ( SD = 2.9 ) for suture ( p = 0.008 ) . One surgeon rated breast Steri-Strip S scars worse than suture scars ( 4.3 versus 3.7 ; p = 0.014 ) . For abdominal scars , there was no difference in the patient or surgeon ratings . CONCLUSIONS Steri-Strip S permits faster wound closure than suture . On the basis of patient reports of comfort and scar quality , surgeons increase efficiency and maintain quality with the use of Steri-Strip S on abdominal wounds but not on breast wounds .
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Intervention_Surgical
3M Steri-Strip S Surgical Skin Closure versus subcuticular closure
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Intervention_Surgical
new coaptive film device
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Intervention_Surgical
3M Steri-Strip S Surgical Skin Closure , on linear incisions
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Intervention_Physical
Steri-Strip S or suture closure
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Intervention_Physical
new scar evaluation tool
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Intervention_Physical
Steri-Strip
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Intervention_Surgical
S
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Intervention_Physical
suture closure
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Intervention_Pharmacological
Steri-Strip S
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Intervention_Physical
suture
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Outcome_Other
closure time
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Outcome_Other
patient comfort
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Outcome_Other
scar quality
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Outcome_Other
Operative time
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Outcome_Adverse-effects
Complication rates
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Outcome_Other
Patients ' visual assessment of linear scars rating of breasts
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Outcome_Physical
wound closure
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Outcome_Other
comfort and scar quality
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Outcome_Other
efficiency
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Outcome_Other
quality
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Participant_Condition
Wise-pattern breast reduction or abdominal procedures
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Participant_Sample-size
59
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Participant_Sample-size
Fifty-one