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Ladder stitch. A ladder stitch, or mattress stitch, is a stitch which can be used to invisibly close seams from the outside of the garment or item. It is primarily used to close seams on stuffed items, such as pillows, mattresses, down coats or stuffed toys, where, after the stuffing is added, there is no access to the back of the fabric.
The PDS suture knots must be properly placed to be secure. Conjunctival and vaginal mucosal sutures remaining in place for extended periods may be associated with localized irritation. Subcuticular sutures should be placed as deeply as possible in order to minimize the erythema and induration normally associated with adsorption.
Purse-string suture, a continuous, circular inverting suture which is made to secure apposition of the edges of a surgical or traumatic wound. [13] [14] Figure-of-eight stitch; Subcuticular stitch. A continuous suture where the needle enters and exits the epidermis along the plane of the skin.
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.
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]
It is the most commonly used technique in the closure of skin. [1] It is known as an interrupted stitch because the individual stitches aren't connected; they are separate. 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 ...
At the end of the running suture line, clips can be placed across the suture tail. Barbed suture is a knotless surgical suture that has a pattern of barbs on its surface. These barbs lock the suture into the tissue, eliminating the tying of knots. Barbed sutures are typically used in cosmetic and reconstructive surgery.
The gauge of the needle used can range from 25 gauge to 27 gauge, while the length can vary between 1 ⁄ 2-inch to 5 ⁄ 8-inch for injections using a syringe and needle. [ 3 ] : 722 For subcutaneous injections delivered using devices such as injector pens , the needle used may be as thin as 34 gauge (commonly 30–32 gauge), and as short as 3 ...