When do you need mattress sutures?
When do you need mattress sutures?
The horizontal mattress suture is useful for wounds under high tension because it provides strength and wound eversion. This suture may also be used as a stay stitch for temporary approximation of wound edges, allowing placement of simple interrupted or subcuticular stitches.
Why is it called a mattress suture?
The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), is a suture type used to close skin wounds.
Why is it called mattress suture?
When would you use a vertical mattress suture?
Vertical mattress sutures are particularly useful in wounds under tension. They also help to evert wound edges in situations where the skin is prone to naturally inverting into the wound. The vertical mattress stitch has one deep throw and one superficial throw (directly above and parallel) to evert the skin edges.
When is a vertical mattress suture used?
Where is vertical mattress suture used?
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 closure of lax skin after removing a dermoid cyst.
What is a simple suture?
The simple interrupted stitch is a suturing technique used to close wounds. It is the most commonly used technique in the closure of skin. It is known as an interrupted stitch because the individual stitches aren’t connected; they are separate.
When to use mattress sutures?
Mattress sutures. Mattress sutures are techniques used to close an open wound using stitches. The purpose of using mattress sutures is to help close the wound, support the wound until it heals, minimize the bleeding and help prevent infection. The common techniques used for mattress sutures are horizontal, vertical and corner stitch methods.
How is the half-buried vertical mattress suture placed?
The half-buried vertical mattress suture is placed in the same manner as the vertical mattress suture, except that the needle penetrates the skin to the level of the deep part of the dermis on one side of the wound, takes a bite in the deep part of the dermis on the opposite side of the wound without exiting the skin, crosses back to the original side of the wound, and exits the skin.
What is a vertical mattress suture?
vertical mattress suture. An interrupted suture in which a deep stitch is taken and the needle inserted upon the same side as that from which it emerged, and passed back through both immediate margins of the wound. The suture is then tied to the free end on the side the needle originally entered.
How is suture material sized?
Suture materials included chromic gut, nylon, silk, and Vicryl (polyglycolic acid). Suture diameter sizes 3-0, 4-0, and 5-0 were tested. Ten trials were undertaken for each combination of material, size, and technique using 2, 3, 4, 5, and 6 throws (ties).
