Mattress Suture Removal

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.
Mattress suture removal. The first throw is made perpendicular to the wound approximately half the radius of the needle distance from the edge of the wound. In this case the mattress sutures can be removed first. This is an especially useful technique for areas where skin is lax or thin and.
Placement of deep buried subcutaneous sutures is commonly advocated to. Mattress sutures can be alternated with simple interrupted sutures. In this case the mattress sutures can be removed first.
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