Forty seven patients completed the study. At the 6 month follow up 25 patients did better with the horizontal suture and 5 did worse and with 17 patients there was no clinically perceptible difference.
2
It is commonly used to close angled wounds.
Horizontal mattress suture scar. This technique is used to suture tubular structures such as blood vessels in order to stop bleeding or reestablish blood flow. Drtusarofficial hello every body today i am going to upload the video regarding mattress suturingskills. Certain anatomical areas like the retroauricular skin are prone to wound inversion and this is an indication for placing horizontal continuous mattress sutures.
Other suturing techniques ligature sutures. Using the combination of a horizontal running mattress suture with intermittent loops achieves both good eversion with the horizontal running mattress plus the ease of removal of the simple loops. Although mattress sutures evert skin edges which aids in healing horizontal mattress sutures leave the worst scar.
A variation of the horizontal mattress stitch is the half buried horizontal stitch. These mattress sutures promote wound edge eversion and less prominent. The running horizontal mattress suture was signicantly more cosmetically pleasing than the simple running suture.
I find an absorbable 4 0 or 5 0 monocryl ethicon works well for a subcuticular suture in the forefoot. Please subscribe like and. Its basically two types far far and close up close.
The horizontal mattress suture figure 2is initiated by inserting the needle about 4 to 8 mm from the wound edge slightly farther from the wound edge than for placement of. In this case the suture enters the tissue outside the point of the wound follows a curved path encompassing the entrance point and sides and exits the tissue close to the entrance point. Horizontal continuous mattress sutures.
One of the disadvantages of this suture is crosshatching. This combination technique also avoids the characteristic railroad track marks that result from prolonged non absorbable suture retention. Too many vicryl ethicon sutures will lead to difficulty in scar healing and can cause spitting sutures.
Scar free suturing. A vertical mattress suture is especially useful in maximizing wound eversion reducing dead space and minimizing tension across the wound. In this video we will show you the difference between horizontal vertical mattress suture and the difference between the uses of both enjoy watching and learning.
The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods.
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