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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 .
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 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 ...
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]
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. The knots should not be left over the wound, but placed to one side in order to avoid scarring and to make ...
The procedure involves running a surgical-grade cord through the fistula tract so that the cord creates a loop that joins up outside the fistula.The cord provides a path that allows the fistula to drain continuously while it is healing, rather than allowing the exterior of the wound to close over.
Cheesewiring can be a complication or part of a negative outcome of a procedure. Examples include tumor growth penetrating the openings in a bowel stent that was placed to open an obstructed bowel, [1] sutures used to hold a transplanted cornea in place, [2] and treatment of tendon rupture, when sutures pull through the tendon.