Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
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Randomized Controlled Trial Comparative Study Clinical Trial
Prospective randomized blind controlled trial comparing sutures, tape, and octylcyanoacrylate tissue adhesive for skin closure after phlebectomy.
The patient's view of the outcome after phlebectomy is mainly dependent on the cosmetic result. ⋯ This study failed to demonstrate an advantage of tissue adhesive and tapes over monofilament sutures for skin closure after phlebectomy.
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Randomized Controlled Trial Comparative Study Clinical Trial
Silicone versus nonsilicone gel dressings: a controlled trial.
Silicone gel dressings decrease scar volume and soften hypertrophic tissue, allowing it to be more easily controlled by other methods. Although silicone does not appear to be an essential component of the treatment, nonsilicone dressings have been reported to cause no change in physical parameters during a 2-month treatment period. ⋯ Silicone and nonsilicone gel dressings are equally effective in the treatment of keloids and hypertrophic scars.
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Randomized Controlled Trial Clinical Trial
Prevention of hypertrophic scars and keloids by the prophylactic use of topical silicone gel sheets following a surgical procedure in an office setting.
Topical silicone gel sheeting has been used for more than 20 years to help reduce the size of hypertrophic scars and keloids. Its clinical efficacy and safety is well established. ⋯ Topical silicone gel sheeting, with a 20-year history of satisfaction in dermatology, now appears to be useful in the prevention of hypertrophic scars and keloids in patients undergoing scar revision.
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Randomized Controlled Trial Clinical Trial
Assessment of ropivacaine as a local anesthetic for skin infiltration in skin surgery.
There has been limited examination of the use of ropivacaine, a relatively new amide local anesthetic, for skin surgery following local infiltration. Initial studies of ropivacaine show it to have a rapid onset and long duration of action. ⋯ Ropivacaine has a rapid onset and long duration of action. Ropivacaine produces vasoconstriction which may be clinically relevant. Even at maximum strength ropivacaine is less painful to inject than lidocaine with epinephrine.
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Randomized Controlled Trial Comparative Study Clinical Trial
Analysis of pressure achieved by various materials used for pressure dressings.
To minimize the risk of complications, pressure dressings are frequently applied to wounds. The actual pressures yielded by different dressing materials and application techniques have not been documented. ⋯ The experimental model demonstrated substantial differences in pressures yielded by various pressure dressing materials.