Horizontal Mattress Suture Continuous

Horizontal mattress sutures closing the gap.

Horizontal mattress suture continuous. This suture may also be used as a stay stitch for temporary approximation of. The horizontal mattress stitch is a suture technique used to close wounds. Performing a horizontal mattress suture.

The corner stitch a variation of the. The continuous version of the horizontal matrix suture transmits the tension of the wound along the entire suture line. Horizontal mattress suturing is a fairly useful back pocket trick to have in your repair arsenal.

Horizontal continuous mattress sutures certain anatomical areas like the retroauricular skin are prone to wound inversion and this is an indication for placing horizontal continuous mattress sutures. It everts skin well and spreads tension along the wound edge. Truth told i don t personally use these sutures often for primary repair as they don t create as meticulous of wound edge apposition as.

The continuous suture technique begins with a simple suture at the end of wound which is knotted. The sutures are then sutured parallel to each other along the wound at various millimetric distances. Mattress sutures are used especially when skin edges must be closed under tension as they achieve good skin eversion which aids wound healing and produces less prominent scaring.

The horizontal mattress suturing technique is the only technique in which the suture material never contacts the lumen. Gently lift the skin with the forceps and pierce the skin surface with the needle perpendicular 90 to the skin at approximately 4mm from the wound edge if the wound is under tension a bigger needle bite may be required. This type of suture tends to be performed using non absorbable suture material with the sutures removed 10 14 days on average after wound closure however typically less than this for closures on the head and neck.

Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be brought together over a distance. Continuous horizontal mattress suture technique is superior to the other microvascular procedures and is the safest and fastest procedure for microvascular anastomosis in rats. The horizontal mattress suture is useful for wounds under high tension because it provides strength and wound eversion.