Comparing Pressure Versus Simple Adhesive Dressing After Mohs Reconstruction

Not Applicable

Completed

• Conditions: Non-melanoma Skin Cancer
• Interventions: Other: Simple Adhesive Dressing; Other: Pressure Dressing

• Registration Number: NCT02780934
• Lead Sponsor: Dartmouth-Hitchcock Medical Center

Brief Summary

The purpose of this study is to determine whether using a pressure- vs. simple adhesive dressing affects the postoperative course and wound healing outcomes following Mohs surgery.

Detailed Description

The investigators will randomize patients undergoing Mohs surgery to receive either a pressure or a simple adhesive dressing following their procedure. The hypothesis is that patients with the simple adhesive dressings will be more satisfied and comfortable with their wound care on follow-up. These patients are also expected to cite greater convenience managing the simple dressing at home. Finally, the investigators anticipate no difference in the number of postoperative complications between the two groups and expect that there will be a lower cost associated with the simple adhesive dressing as compared to the pressure dressing.

Study Timeline

• Study Start: 2015-10
• Primary Completion: 2016-05
• Study Completion: 2016-05
• Study First Submitted: 2016-05-18
• Study First Submitted QC: 2016-05-19
• Study First Posted: 2016-05-24
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-18
• Last Update Posted: 2016-08-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 81

Inclusion Criteria

• Patients will be considered for enrollment if they have been referred to a Mohs surgeon for consideration of Mohs surgery for non-melanoma skin cancer.

Exclusion Criteria

• Lack of indication for Mohs
• Significant comorbidities
• Case of a high-risk location or tumor size which necessitates consultation with other specialties in advance.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Simple Adhesive Dressing	Simple Adhesive Dressing	Participants randomized to this group will receive the experimental post-operative dressing following their Mohs procedure: a simple adhesive dressing consisting of a non-adherent pad and transparent dressing.
Pressure Dressing	Pressure Dressing	Participants randomized to this group will receive the standard post-operative dressing following their Mohs procedure: a pressure dressing consisting of high absorbency gauze and retention tape.

Primary Outcome Measures

Name	Time	Method
Patient Satisfaction	Assessed at the first clinical follow-up visit, 1-2 weeks following Mohs procedure	Patients are asked to complete a survey regarding their satisfaction with their post-operative dressing. Surveys will be distributed at their first clinical follow-up visit. They are asked to rate their overall satisfaction and difficulty sleeping, bathing, and returning to normal activity following their Mohs procedure.
Complications	Assessed at the first clinical follow-up visit, 1-2 weeks following Mohs procedure	The number of complications requiring medical attention in each arm of the study. These complications include: infection, bleeding, wound dehiscence, splitting or retained stitches, pain, and cosmetic disfigurement.