Horizontal Mattress Suture Vs Vertical

The interrupted horizontal and vertical mattress suture techniques are two of the most commonly used skin closure methods 1 3 these techniques provide many advantages including the closure of.

Horizontal mattress suture vs vertical. One of the disadvantages of this suture is crosshatching. The corner stitch a variation of the. 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 superficial skin edges.

An excellent and underutilized technique is the placement of vertical mattress sutures in traumatic wounds which combines the advantages of the deep dermal removing tension from the skin surface and the epidermal simple interrupted suture wound edge approximation eversion. It s most useful for high tension wounds especially when the edges are fragile or frayed. 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.

A vertical mattress suture is especially useful in maximizing wound eversion reducing dead space and minimizing tension across the wound. Horizontal mattress suturing is a fairly useful back pocket trick to have in your repair arsenal. Since it actually has two anchors in both the deep and shallow penetration along the same linear path the vertical mattress suture has excellent tensile strength.

The corner stitch a variation of the. This is an especially useful technique for areas where skin is lax or thin and. Both the vertical and the horizontal mattress suture are typically tied using a square knot.