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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]
Download as PDF; Printable version; ... Simple interrupted stitch; Surgical knot; Surgical suture; V. Vertical mattress stitch This page ...
A wound before and after being closed by simple interrupted sutures, but with a central vertical mattress suture. The simple interrupted stitch is a suturing technique used to close wounds. 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 ...
The most common is the simple interrupted stitch; [12] it is indeed the simplest to perform and is called "interrupted" because the suture thread is cut between each individual stitch. The vertical and horizontal mattress stitch are also interrupted but are more complex and specialized for everting the skin and distributing tension.
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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.
The suture is led back grasping only the mucosa, first of the duodenum and then of the stomach. [9] Knotting these sutures leads to an exact coaptation, especially at the level of the mucosa. [ 9 ] The front wall is best closed with one row of interrupted sutures through all layers with tangential stitches of the mucosa with the same technique ...
The valve is excised 4–5 mm from the annulus, leaving intact the attached chordae unless they are calcified or otherwise diseased. The valve is replaced by a mechanical or bioprosthetic valve. The replacement valve is sewn into the annulus with interrupted or horizontal mattress sutures with the pledgets on the atrial side. [17]