mattress suture

Learn how to use mattress sutures to evert skin edges, promote wound edge eversion, and less prominent scarring. Find out the advantages, disadvantages, and variations of the vertical, horizontal, and corner mattress sutures, as well as the removal times and tips for avoiding scarring. Learn how to perform a horizontal mattress suture, a square-shaped suture with the knot parallel to the wound, for wounds under tension or eversion. See step-by-step images and video, suture materials, equipment and basic principles of wound management. The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), is a suture type used to close skin wounds. The advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers, and also allows perfect eversion and vertical opposition of the ... A vertical mattress suture is a type of suture that both dermal and subdermal approximation and epidermal approximation of wound edges. It is used for wounds with difficult alignment or eversion, under tension, or under moderate tension. Learn the indications, contraindications, complications, equipment, position, step-by-step description, aftercare, warnings and tips for this procedure. Learn how to suture a wound using the mattress suture technique, which is one of the most commonly used methods for skin closure. The mattress suture involves inserting non-absorbable sutures under tension at skin edges, creating good skin eversion and reducing scaring. Follow the step-by-step procedure with images and tips. horizontal mattress suture. The Author THOMAS J. ZUBER, M.D., is a faculty member with the Atlanta Medical Center Fam-ily Practice Residency Program in Atlanta. He is currently completing masters ... Vertical mattress suture. A two-stitch suturing technique combining deep and superficial loops; Can evert the wound edge and reduces the need for layered closure; Typically uses nonabsorbable sutures; Variation: half-buried vertical mattress (reduces scarring) Deep gaping wounds in high-tension areas (e.g., joints) Horizontal mattress suture Vertical mattress sutures are particularly useful in wounds under tension. They also help to evert wound edges in situations where the skin is prone to naturally inverting into the wound. The vertical mattress stitch has one deep throw and one superficial throw (directly above and parallel) to evert the skin edges. Vertical mattress suture. A vertical mattress suture is a variation of a simple interrupted suture. It consists of a simple interrupted stitch placed wide and deep into the wound edge and a second more superficial interrupted stitch placed closer to the wound edge and in the opposite direction (see the image below). Running horizontal mattress suture. The running horizontal mattress suture is used for skin eversion. It is useful in areas with a high tendency for inversion, such as the neck. It can also be useful for reducing the spread of facial scars. If the sutures are tied too tightly, tissue strangulation is a risk. 7. Cut the suture, leaving a 1-cm tail on the suture. 8. Space horizontal mattress sutures approximately 1 cm apart. 9. The task should be repeated to a predetermined proficiency level. Task 4: Technique for Vertical Mattress Suturing Steps as follows: 1. Begin with a simple, interrupted suture (fig. 11) as described above in Tasks 1–3. fig. 11 To enhance suture efficiency, Neil Sadick 24 modified the buried vertical mattress suture and published their results in 1994. The mattress suture was not placed under the epidermis but directly punctured the skin, and there was no need for superficial sutures (Figure (Figure3A). 3 A). This method has been proven to be easier technically ...