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The purpose of this study is to determine the efficacy and safety of compression bandaging with fractional ablative carbon dioxide laser (FACL) compared to compression and standard dressings alone for healing of post-operative wounds of the leg.
This is a randomized, SMART design, clinical trial. Approximately 80 participants will be randomized to initially receive compression bandages or standard wound dressings after surgery on the lower leg. After 4 weeks, the group assigned to compression bandages will be further randomized to either continue with the compression bandages only or continue with the compression bandages and also receive (FACL). The study is designed as an 6-month study. This study was a pilot study designed to determine feasibility of these procedure.
Subjects currently living in the Chicago metropolitan area and meet inclusion/exclusion criteria will be considered for enrollment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Compression bandages | Active Comparator | Class I (20-30 mmHg) compression bandages or stocking. This is considered a standard measure in the recovery of lower extremity wounds and often recommended. |
|
| Standard wound dressings | Other | Wound dressings alone consisting of gauze and skin tape to cover the wound. |
|
| Compression bandages with FACL | Experimental | Class I compression (20-30 mmHg) bandage or stocking with FACL. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compression bandages | Other | Class I (20-30 mmHg) compression bandages or stocking |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean change wound size as determined by measurements | Baseline to 6 months |
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Inclusion Criteria:Patients will be identified through the clinic where their skin is to be treated by excisional surgery on the lower leg. Those considered for enrollment must also meet the following criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Murad Alam, MD | Northwestern University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University Department of Dermatology | Chicago | Illinois | 60611 | United States |
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| ID | Term |
|---|---|
| D058128 | Compression Bandages |
| ID | Term |
|---|---|
| D001458 | Bandages |
| D004864 | Equipment and Supplies |
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Sequential, multiple assignment, randomized trials (SMARTs)
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| Standard wound dressings | Other | Wound dressings alone consisting of gauze and skin tape to cover the wound |
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| Fractional ablative carbon dioxide laser | Device | Participant will have laser applied to their wound bed. |
|