Mattress Stitch Skin

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.

Mattress stitch skin. Mattress sutures are often performed as the anchoring stitch for skin flap closure 1 mattress suture techniques also promote skin edge eversion 1 8 because scars tend to retract over time. This is an excellent type of suture to evert. It is designed for use when the skin edges are likely to be difficult to evert fig.

The corner stitch a variation of the horizontal mattress suture is commonly used for closure of angled skin flaps or wounds. Horizontal half buried mattress or 3 corner sutures. Although mattress sutures can produce surface scarring or.

3 4 in addition with only 1 kind of suture the vertical mattress suture will. The risk of crosshatching is greater because of increased tension across the wound and the four entry and exit points of the stitch in the skin. This type of suture tends to be performed using non absorbable suture material.

The mattress sutures both horizontal and vertical are one of the most commonly used methods for skin closure 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 process of performing a vertical mattress stitch can be described as far far near near or deep deep shallow shallow the first step is to insert the needle and thread in the skin from one side of the wound usually around 15 to 30 inches 4 to 8 mm away from the wound. With this type of knit you can easily insert the needle through the bar between the last two stitches in the work and get a clean hidden seam as.

One of the disadvantages of this suture is crosshatching. Certain anatomical areas like the retroauricular skin are prone to wound inversion and this is an indication for placing horizontal continuous mattress sutures. This means that the work uses a basic knit stitch on one side and a purl stitch on the other side.

The horizontal half buried mattress or 3 corner suture is used to close flapped or v shaped wound edges.