Mattress Stitch Wound Closure

It is most suitable for y shaped lacerations with a flap edge but variations can also be employed for v and x shaped lacerations.

Mattress stitch wound closure. You can even clip this suture in the end one less foreign body in the wound to worry about. It is then reinserted 2 mm from the edge. The horizontal mattress is so secure that it can compromise blood.

It exits 2 mm from the edge on the starting side. The corner stitch a variation of the horizontal mattress suture is commonly used for closure of angled skin flaps or wounds. Patients registered nurses and the operating surgeon all reported that wound closure using a single intracuticular horizontal mattress suture was associated with the highest overall satisfaction.

This type of suture tends to be performed using non absorbable suture material. 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. A nice use of this technique is to place the horizontal mattress first to act as your assistant holding the wound edges approximated while you perform a more meticulous closure.

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. Although mattress sutures can produce surface scarring or advertisement. The horizontal mattress suture inserts 4 mm from the wound edge and 2 mm below the center of the.

The vertical mattress suture far far near near system inserts in the center of the wound 4 mm from the wound edge. This makes it ideal for holding together fragile skin as well as skin under high tension such as the distant edges of a large laceration or as the initial holding suture in complicated repairs. Surgical repair closure procedures on the integumentary system use the codes in this section to designate wound closure utilizing sutures staples or tissue adhesives eg 2 cyanoacrylate either singly or in combination with each other or in combination with adhesive strips.

The wound closure methods studied included tissue adhesive a single intracuticular hori zontal mattress suture or a running intracuticular suture.