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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.
Halsted's principles, also known as Tenets of Halsted, are the basic principles of surgical technique regarding tissue handling. [1]These key points were introduced in the late 19th century by William Stewart Halsted, co-founder of Johns Hopkins Hospital.
They tend to absorb this suture at a higher rate. Special precautions should be taken in elderly patients and patients with history of anemia and malnutrition conditions. As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties. The PDS suture knots must be properly placed to be secure.
A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread. There are numerous types of suture which differ by needle shape and size as well as thread material ...
Bypass operations on the GI tract, once rarely performed, are the cornerstone of bariatric surgery. The widespread use of mechanical suturing devices (linear and circular staplers) changed the face of gastrointestinal surgery. A suture-free method for anastomosis of the colon to colon or rectum has been developed. [1] [2]
This is different from a traditional hemorrhoidectomy, which focused on excising the hemorrhoidal bundle. In this procedure, there is no tissue excision. Because the suture line is above the pectinate line, post-operative pain is minimized for patients. THD can be performed with conscious sedation, local [5] or general anesthesia.
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 place. A surgeon's knot or knots cross the wound perpendicularly ...
A barbed suture is a type of knotless surgical suture that has barbs on its surface. While suturing tissue, these barbs penetrate inside the tissue and lock them into place, eliminating the need for knots to tie the suture. Conventional sutures rely on a surgeon's ability to tie secure knots; barbed sutures provide a knotless alternative in ...