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The horizontal mattress stitch is a suture technique used to close wounds.It everts skin well and spreads tension along the wound edge. [1] [2] [3] This makes it ideal for holding together fragile skin [4] 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.
Placing and tying each stitch individually is time-consuming, but this technique keeps the wound together even if one suture fails. [1] It is simple, and relatively easy to place. A surgeon's knot or knots cross the wound perpendicularly. The knots should not be left over the wound, but placed to one side in order to avoid scarring and to make ...
The corner stitch is a common suture technique. [1] It used to close wounds that are angled or Y-shaped without appreciably compromising blood supply to the wound tip. [2] [3] The corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4]
The vertical mattress stitch is most commonly used in anatomic locations which tend to invert, such as the posterior aspect of the neck, and sites of greater skin laxity such as the closure of lax skin after removing a dermoid cyst or reduced subcutaneous tissue (e.g., the shin) that do not provide adequate subcutaneous tissue for dermal closure. [6]
There are many different surgical specialties, some of which require specific kinds of surgical instruments to perform.. General surgery is a specialty focused on the abdomen; the thyroid gland; diseases involving skin, breasts, and various soft tissues; trauma; peripheral vascular disease; hernias; and endoscopic procedures.
The procedure involves running a surgical-grade cord (eg, silk suture) through the fistula tract so that the cord creates a loop that joins up outside the fistula.The cord provides a path that allows the fistula to drain continuously while it is healing, rather than allowing the exterior of the wound to close over.
Tying a surgical knot is done inside the body or outside the body. Learning to tie a surgical knot inside the body is slightly more difficult and has a steeper learning curve. This is because the surgeon uses laparoscopic instruments. Tying the knot outside the body is simpler for most because the suturing is with fingers as in traditional tying.
Initial sutures are placed on opposite sides of the joint, through the epineurium and slightly into the subepineurial neural structure to anchor the two nerves together. Suturing continues 180 degrees from each initial suture. The position of the lateral sutures is reversed to expose the opposite side and sutured the same way.