Comparing Pressure Versus Simple Adhesive Dressing After Mohs Reconstruction

Study Overview
=================
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.

Official Title
-----------------
Comparing Pressure Versus Simple Adhesive Dressing After Mohs Reconstruction

Conditions
-----------------
Non-melanoma Skin Cancer

Intervention / Treatment
-----------------
* Other: Pressure Dressing
* Other: Simple Adhesive Dressing


Participation Criteria
=================
Eligibility Criteria
-----------------
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.
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Pressure Dressing<br>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. | Other: Pressure Dressing<br>* Patients in this group will receive the standard post-operative bandage: a pressure dressing consisting of high absorbency gauze and retention tape.<br>|
| Experimental: Simple Adhesive Dressing<br>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. | Other: Simple Adhesive Dressing<br>* Patients in this group will receive the experimental bandage: a simple adhesive dressing consisting of a non adherent pad and transparent dressing.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction | 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. | Assessed at the first clinical follow-up visit, 1-2 weeks following Mohs procedure | 
| Complications | 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. | Assessed at the first clinical follow-up visit, 1-2 weeks following Mohs procedure | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Pressure Dressing, Post-operative Care, Simple Adhesive Dressing, Mohs