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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.
A synthetic adsorbable suture material. Braided synthetic adsorbable multifilament made of polyglycolic acid and coated with N-laurin and L-lysine, which render the thread extremely smooth, soft and knot safe. A synthetic adsorbable suture material. Monofilament synthetic absorbable suture, prepared from the polyester, poly (p-dioxanone ...
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 ...
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]
[2] [3] 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 ...
A standard general surgical needle holder, with a ratchet handle lock. Two specialty needle holders, Mathieu needle holder (above) and Castroviejo needle holder (below). A needle holder, also called needle driver or needle forceps, is a surgical instrument similar to a hemostat, used by doctors and surgeons to hold and push a suturing needle when performing wound closure, ligation and other ...
An interrupted suture is used to close the first and second layer and a continuous locking suture or figure-of-eight suture is used to close the third layer. [2] Since in practice the low transverse incision is typically made, the incision is also typically closed with two layers of sutures.