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The middle stitch is a vertical mattress the others simple interrupted stitches. The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), [1] is a suture type used to close skin wounds. The advantages of the vertical mattress suture are that it provides closure for both deep and ...
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 ...
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 corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4] The needle enters the skin on one side of the obtuse angle of the wound, passes through the deep dermis of the corner flap, and is re-inserted through the dermis of the other side of the obtuse wound angle.
There are several methods that can be implemented to achieve primary closure of a wound, including suture, staples, skin adhesive, and surgical strips. Suture is the most frequently used for closure. [27] There are many types of suture, but broadly they can be categorized as absorbable vs non-absorbable and synthetic vs natural.
Crocodilian form of crurotarsal ankle. The astragalus (pink) is fixed to the tibia (green) by a suture. Adapted with permission from Palaeos. In the type of crurotarsal ankle, which is found in crocodilians and some other archosaurs, the astragalus is fixed to the tibia by a suture, and the joint bends around a peg on the astragalus, which fits into a socket in the calcaneum.
] The suture is sterilized with a sterilizing fluid containing ethylene oxide, isopropyl alcohol and distilled water. [3] Catgut suture is straw-colored, and is available in sizes USP 6-0 (1 metric) to USP 3 (7 metric). Although the name implies the usage of guts of cats, there is no record of feline guts being used for this purpose.
In general, the shorter the time any suture is in the skin, the smaller the scar. There is a trade-off with healing, areas such as the elbows and knees take longer to heal to the required strength than a face for example. The concern about scarring is limited to sutures in the skin.Dlodge 01:34, 26 January 2007 (UTC)