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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]
Hyoid suspension, also known as hyoid myotomy and suspension or hyoid advancement, is a surgical procedure or sleep surgery in which the hyoid bone and its muscle attachments to the tongue and airway are pulled forward with the aim of increasing airway size and improving airway stability in the retrolingual and hypopharyngeal airway (airway behind and below the base of tongue).
Other stitches or suturing techniques include: 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.
New knots have been described. Other commonly employed knots are surgeon's knot, modified surgeon's knot, single-double other side knot, strangle knot and modified miller's knot. The Surgeon's knot has been a standard ligature but in one study it demonstrated slippage. [4] While the suture is being put in place a knot is used to secure the suture.
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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.
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