title: A novel foil flip-over system as the final layer in wound closure: excellent cosmetic results and patient comfort.
abstract: BACKGROUND
  Wound closure after excision is commonly done with sutures or staples. A new sutureless innovative wound closure system is available for sutureless skin closure.
  
  
  OBJECTIVE
  To evaluate wound healing, patient comfort, and cosmetic results of a foil flip-over system for excision of small skin lesion.
  
  
  METHODS
  Patients presenting to the department of Dermatology of Erasmus University Medical Center, Rotterdam, The Netherlands for skin surgery during a 1.5-year period were prospectively studied. Key outcome measures were wound healing, patient comfort, and cosmetic results. Three independent physicians scored photographs of the scars. Evaluation tools used were comfort and body image questionnaires and visual analogue scales.
  
  
  RESULTS
  Ninety-six patients with 103 lesions were included in our study. The surgeon scored wound healing as excellent or good in 96%. No wound infections occurred. Ninety-two percent of patients scored removal of the system as comfortable. Median patient grade of scar after 1 month was 8 out of 10 points (interquartile range [IQR] 7-9). Median independent physician grade of photographs of the scars was 7.7 (IQR 7.1-8.0).
  
  
  CONCLUSIONS
  Sutureless foil flip-over is promising, with excellent patient comfort characteristics and good to excellent cosmetic results.
authors: Department of Surgery, ErasmusMC University Medical Center, Rotterdam, The Netherlands.
authors: Eva Barbara
authors: EB
authors: Deerenberg
authors: Hedwig Josephine
authors: HJ
authors: Goyen
authors: Ruth
authors: R
authors: Kaufmann
authors: Johannes
authors: J
authors: Jeekel
authors: Kai
authors: K
authors: Munte
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002921:Cicatrix / Q000209:etiology / Q000473:pathology; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D058106:Wound Closure Techniques / Q000009:adverse effects / Q000295:instrumentation; D014945:Wound Healing; D055815:Young Adult