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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.
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 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]
Subcuticular stitch. A continuous suture where the needle enters and exits the epidermis along the plane of the skin. This stitch is for approximating superficial skin edges and provides the best cosmetic result. Superficial gapping wounds may be reduced effectively by using continuous subcuticular sutures. [15]
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This incision heals rapidly and generally has good cosmetic results, especially if a subcuticular suture is used to close the skin. [ 7 ] McEvedy's incision – McEvedy's original incision was a lateral paramedian incision which used to incise the rectus sheath along its lateral margin and gain access by pulling the rectus medially.
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.
Chromic gut suture-make from the goat or cow;s intestine. These sutures are absorb within 7-14 days, it had the fast absortion rate compare to synthetic which will absorb within 42-56 depending on the range of product. As different range of product the absorbtion rate varies.