1. Comparison of wound strength, histologic, and aesthetic outcomes after microsurgical versus conventional skin closure in a rat model.
- Author
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Hinchcliff, Katharine M, Orlowski, Timothy, Orbay, Hakan, Hogan, Fawn, Grayson, Kevin, and Sahar, David E
- Subjects
Fibroblasts ,Skin ,Animals ,Rats ,Sprague-Dawley ,Dioxanes ,Polyesters ,Microsurgery ,Suture Techniques ,Models ,Animal ,Sutures ,Esthetics ,Tensile Strength ,Dermatologic Surgical Procedures ,Operative Time ,Scar ,microscope ,rat model ,scar aesthetics ,scar strength ,Rats ,Sprague-Dawley ,Models ,Animal ,Surgery ,Clinical Sciences ,Medical Physiology - Abstract
The purpose of this study was to compare the healing, strength, and cosmetic outcome of linear incisions after repair with the naked eye, surgical loupes, or a surgical microscope. Two parallel incisions were made on the dorsal skin of Sprague-Dawley rats (n = 36) and the rats randomized into four groups. A single surgeon repaired the incisions using 5-0 poliglecaprone in a running subcuticular pattern using the naked eye (Group I), surgical loupes with 2.5× magnification (Group II), surgical microscope with 5-10× magnification (Group III), and 6-0 poliglecaprone with a surgical microscope (Group IV). Rats were sacrificed at 1, 3, and 6 weeks. At each time point, the tensile strength of each closure was assessed. Macroscopic outcomes were evaluated using the Vancouver Scar Scale (VSS) and histology assessed by a blinded observer. Microscope closure took significantly longer than closure with the naked eye (p
- Published
- 2019