Horizontal Mattress Suture Removal

Horizontal mattress suturing is a fairly useful back pocket trick to have in your repair arsenal.

Horizontal mattress suture removal. The horizontal mattress suture figure 2 is initiated by inserting the needle about 4 to 8 mm from the wound edge slightly farther from the wound edge than for placement of. Although mattress sutures can produce surface scarring or railroad. Cut the first suture on the side opposite the knot.

I just started at a neurosurgeon office and am struggling with removal of carpal tunnel sutures. The corner stitch a variation of the horizontal mattress suture is commonly used for closure of angled skin flaps or wounds. 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.

I was told to. Proceed along the suture line grasping each suture where you grasped the knot on the first one. Horizontal mattress sutures may be left in place for a few days if wound tension persists after placement of the remaining stitches.

Performing a horizontal mattress suture 1. Then lift the first suture out in the direction of the knot. In areas of extremely high tension at risk for dehiscence.

I believe our surgeon uses the horizontal mattress suturing but when patients come in the sutures are so extremely tight that the removal process is always painful for the patient. 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. Then clean the areas of where you removed the suture with a new antiseptic swab and let the site dry.

Next cut the same side of the next suture in line. This video demonstrates the indications and technique for placing the simple interrupted vertical mattress and horizontal mattress suture. Continue removing every other suture.