When are vertical mattress sutures used?

When are vertical mattress sutures used?

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.

What is a medical mattress stitch?

The horizontal mattress stitch is a suture technique used to close wounds. It everts skin well and spreads tension along the wound edge.

When do you use horizontal and vertical mattress sutures?

Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be brought together over a distance. The corner stitch, a variation of the horizontal mattress suture, is commonly used for closure of angled skin flaps or wounds.

What is ideal distance between sutures?

The distance between sutures should be roughly ½ the length of the individual sutures. Place the first suture in the center of the wound if approximation will be difficult, continuing by closing the distance to the wound edges by ½ to minimize tension forces on the tissue wall.

What is an Aberdeen knot?

The Aberdeen knot is an alternative knot used when ending a continuous suture line, most often for subcutaneous and intradermal closure. When used in subcutaneous closure, this knot allows the surgeon to continue directly to an intradermal closure without cutting the subcutaneous suture line.

What is the mattress suture technique best used for?

The horizontal mattress suture is an everting suture technique that spreads tension along a wound edge. 1,6,7 This technique is commonly used for pulling wound edges together over a distance, or as the initial suture to anchor two wound edges (holding sutures).

How do I make my stitches tighter?

Each time: Place the needle holders over the incision and knot, wrap the suture material once around the needle holders, grasp the free end, pull it through the loop and tighten the knot.

How do you make a mattress stitch?

Joining Knit Pieces With the Mattress Stitch Thread a yarn or tapestry needle. Lay out your pieces right side up. Insert the needle through the bar between the end stitches. Insert the needle in the same spot on the opposite side. Go back and forth moving upwards. Pull on the yarn after every few rows to pull the sides together.

What is a horizontal mattress?

The horizontal mattress stitch is a suture technique used to close wounds. It everts skin well and spreads tension along the wound edge. This makes it ideal for holding together fragile skin 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.

How is the vertical mattress suture placed?

The needle is inserted on the outer surface of the buccal flap just above the mucogingival junction.

When moved along its curvature,the needle should come out from the center of the papilla 2 to 3 mm from the flap edge.

The needle is then passed through the contact area and suture thread comes on the lingual aspect.

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.