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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 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]
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.
Stapedectomy is a surgical procedure in which the stapes bone is removed from the middle ear and replaced with a prosthesis. If the stapes footplate is fixed in position, rather than being normally mobile, the result is a conductive hearing loss. There are two major causes of stapes fixation.
The corner stitch is a common suture technique. [1] It used to close wounds that are angled or Y-shaped without appreciably compromising blood supply to the wound tip. [2] [3] The corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4]
Stronger braided suturing thread is preferred because the knot has a tendency to fray as it is slid down the cannula. 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 ...
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; 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 ...
Marsupialization is the surgical technique of cutting a slit into an abscess or cyst and suturing the edges of the slit to form a continuous surface from the exterior surface to the interior surface of the cyst or abscess. Sutured in this fashion, the site remains open and can drain freely.