Less Is More

Simpler & Better Medicine

Confirmatory Testing Before Treatment of Onychomycosis? — January 10, 2017
Sterile vs Nonsterile Gloves in Cutaneous Surgery and Common Outpatient Dental Procedures — January 6, 2017

Sterile vs Nonsterile Gloves in Cutaneous Surgery and Common Outpatient Dental Procedures

Summary: For patients having outpatient cutaneous surgical procedures, use of clean non-sterile gloves is associated with the rate of surgical site infection (approximately 2%) as use of sterile gloves, but the financial costs of non-sterile gloves are much lower.

https://www.ncbi.nlm.nih.gov/m/pubmed/27487033/

Strength of Recommendation = A

Effect of Adhesive Strips and Dermal Sutures vs Dermal Sutures Only on Wound Closure: A Randomized Clinical Trial. — March 15, 2016

Effect of Adhesive Strips and Dermal Sutures vs Dermal Sutures Only on Wound Closure: A Randomized Clinical Trial.

Summary: For patients with a surgical wound requiring closure (3 cm or more), use of interrupted subcuticular dermal suturing alone may provide the same cosmetic results after 3 months as an approach of using interrupted subcuticular dermal suturing + dermal adhesive strips.

http://www.ncbi.nlm.nih.gov/m/pubmed/25875131/

Strength of Recommendation = B

Long-term appearance of lacerations repaired using a tissue adhesive. — January 8, 2016
Comparison of tissue adhesive and suturing in the repair of lacerations in the emergency department. — December 16, 2015

Comparison of tissue adhesive and suturing in the repair of lacerations in the emergency department.

Summary: For adults with lacerations 5 cm or shorter, use of a tissue adhesive (in this case, Histoacryl Blue [HAB]) may be associated with lower costs and improved physician and patient satisfaction compared to suturing, with no difference noted between suturing and HAB in cosmetic outcomes at 10 days or at 3 months.

http://www.ncbi.nlm.nih.gov/m/pubmed/12131639/

Strength of Recommendation = B

Honey as a topical treatment for wounds. — October 14, 2015
Water for wound cleansing. — October 9, 2015
Comparison of the surgical outcomes of punch incision and elliptical excision in treating epidermal inclusion cysts: a prospective, randomized study. — July 8, 2015
Comparing non-sterile to sterile gloves for minor surgery: a prospective randomised controlled non-inferiority trial. — July 7, 2015
Clinical and cost-effectiveness of compression hosiery versus compression bandages in treatment of venous leg ulcers (Venous leg Ulcer Study IV, VenUS IV): a randomised controlled trial. — July 6, 2015

Clinical and cost-effectiveness of compression hosiery versus compression bandages in treatment of venous leg ulcers (Venous leg Ulcer Study IV, VenUS IV): a randomised controlled trial.

Summary: For venous leg ulcers, treatment with two-layer compression hosiery may lead to healing in the same amount of time as treatment with a four-layer bandage (approximately 98 to 99 days), at lower cost.

http://www.ncbi.nlm.nih.gov/m/pubmed/24315520

Strength of Recommendation = B

Suturing versus conservative management of lacerations of the hand: randomised controlled trial. — May 11, 2015

Suturing versus conservative management of lacerations of the hand: randomised controlled trial.

Summary: For small uncomplicated lacerations of the hand (< 2cm), similar cosmetic and functional outcomes result from either suturing or conservative treatment (tap water irrigation, antibiotic ointment and dressing, but no sutures), but conservative treatment is faster and less painful.

http://www.ncbi.nlm.nih.gov/m/pubmed/12169503

Strength of Recommendation = B

Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department: a randomized controlled trial. —

Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department: a randomized controlled trial.

Summary: There appears to be no clinically important difference in infection rates between using clean non-sterile gloves vs sterile gloves during the repair of uncomplicated traumatic lacerations, and non-sterile gloves may be less expensive (approximately US$0.10 per pair for non-sterile boxed gloves vs approximately US$0.70 per pair for sterile gloves)

http://www.ncbi.nlm.nih.gov/m/pubmed/14985664/

Strength of Recommendation = B

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