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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.
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.
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]
Wound healing refers to a living organism's replacement of destroyed or damaged tissue by newly produced tissue. [1] In undamaged skin, the epidermis (surface, epithelial layer) and dermis (deeper, connective layer) form a protective barrier against the external environment. When the barrier is broken, a regulated sequence of biochemical events ...
Dermatologic surgery has a long history and has evolved significantly over time. Ancient civilizations such as Egyptians, Greeks, and Romans practiced early forms of dermatologic surgery, employing techniques such as tissue excision, cautery, and scarification for therapeutic and cosmetic purposes.
Medical massage is outcome-based massage, primarily the application of a specific treatment targeted to the specific problem the patient presents with a diagnosis and are administered after a thorough assessment/evaluation by the medical massage therapist with specific outcomes being the basis for treatment. It is also known as clinical massage ...
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.
Another student of Namikoshi, Hiroshi Nozaki founded the Hiron Shiatsu, [27] a holistic technique of shiatsu that uses intuitive techniques and a spiritual approach to healing which identifies ways how to take responsibility for a healthy and happy life in the practitioner's own hands. It is practiced mainly in Switzerland, France and Italy ...
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