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IRCT20180627040252N2 IRCT 2021-09-12 Yazd University of Medical Sciences A comparison between outcomes of simple suture and vertical mattress suture in palmar incisions A comparison between outcomes of simple suture and vertical mattress suture in elective incisions of palmar hand; A prospective clinical trial 2020-02-20 anticipated 60 Complete https://irct.ir/trial/56548 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The site: https://www.graphpad.com/quickcalcs/randMenu/ is used for randomization. The samples are divided into two random groups based on random numbers created by the site. The letter A is considered for the simple suture group and the letter B is considered for the vertical mattress suture group. N/A Condition 1: Carpal tunnel syndrome. Condition 2: Trigger finger. Condition 3: Trigger thumb. Intervention 1: Control group: In this group, patients undergoing carpal tunnel release surgery, trigger finger release and trigger thumb release are sutured with simple sutures. In simple suture, the needle is inserted from a distance of 3-5 mm from one edge of the wound and leaves the other edge of the wound at the same distance. Then a knot is secured. In this group, 4-0 nylon suture is used for skin closure. Intervention 2: Intervention group: In this group, patients undergoing carpal tunnel release surgery, trigger finger release and trigger thumb release are sutured with vertical mattress sutures. In vertical mattress suture, the needle is inserted 4-8mm from the wound edge and a deep bite of tissue is taken before exiting the skin in the same position on the opposite wound edge. Then, the needle position is reversed in the needle holder, and the needle is inserted 1-2mm from the second side of the wound and a smaller bite of tissue is taken before exiting on the first side of the wound. Then a knot is secured. In this group, 4-0 nylon suture is used for skin closure. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information.
public Abbas Abdoli Tafti
Shahid Sadougi Hospital, Ebne Sina street, Shahid Ghandi BLvd
Yazd Iran (Islamic Republic of) 8916886938 +98 35 3822 4000 aabdoli2000@mail.ssu.ac.ir Yazd University of Medical Sciences scientific Abbas Abdoli Tafti
Shahid Sadougi Hospital, Ebne Sina street, Shahid Ghandi BLvd
Yazd Iran (Islamic Republic of) 8916886938 +98 35 3822 4000 aabdoli2000@mail.ssu.ac.ir Yazd University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Candidate patients for open carpal tunnel release surgery at the surgeon's discretion Candidate patients for trigger finger release surgery at the surgeon's discretion Candidate patients for trigger thumb release surgery at the surgeon's discretion Ability to complete subsequent follow ups Patients with informed consent no limit no limit Both Previous history of Palmar surgery Hand Diseases (Dupuytren, Rheumatoid Arthritis) Vascular disorders Systemic diseases (diabetes, rheumatic diseases, malignancies, kidney failure) Skin diseases (eczema, psoriasis) Sensitivity to suture material Use of corticosteroid and cytotoxic drugs Pregnancy Previous history of keloid and hypertrophic scars G56.0 M65.3 M65.31 Carpal tunnel syndrome Trigger finger Trigger thumb Treatment - Surgery Treatment - Surgery Control group: In this group, patients undergoing carpal tunnel release surgery, trigger finger release and trigger thumb release are sutured with simple sutures. In simple suture, the needle is inserted from a distance of 3-5 mm from one edge of the wound and leaves the other edge of the wound at the same distance. Then a knot is secured. In this group, 4-0 nylon suture is used for skin closure. Intervention group: In this group, patients undergoing carpal tunnel release surgery, trigger finger release and trigger thumb release are sutured with vertical mattress sutures. In vertical mattress suture, the needle is inserted 4-8mm from the wound edge and a deep bite of tissue is taken before exiting the skin in the same position on the opposite wound edge. Then, the needle position is reversed in the needle holder, and the needle is inserted 1-2mm from the second side of the wound and a smaller bite of tissue is taken before exiting on the first side of the wound. Then a knot is secured. In this group, 4-0 nylon suture is used for skin closure. Cosmetic. Timepoint: Third month. Method of measurement: Patient and Observer Scar Assessment Scale. Pain. Timepoint: Third day, third week, third month. Method of measurement: Visual Analogue Scale. Infection. Timepoint: Third day, third week. Method of measurement: Southampton Wound Assessment Scale. Patient satisfaction. Timepoint: Third month. Method of measurement: Visual Analogue Scale. Functional outcome. Timepoint: Third month. Method of measurement: Shortened version of the disabilities of the arm, hand and shoulder Score. Shahid Sadoughi University of Medical Sciences Approved 2020-02-25 Research Ethics Committees of School of Medicine- Shahid Sadoughi University of Medical Sciences Bahonar Square Yazd Yazd Iran (Islamic Republic of)