Horizontal Mattress Suture Vs Vertical

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 the advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers and also allows perfect eversion and vertical opposition of the superficial skin edges.

Horizontal mattress suture vs vertical. 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. This is an especially useful technique for areas where skin is lax or thin and. Truth told i don t personally use these sutures often for primary repair as they don t create as meticulous of wound edge apposition as.

Both the vertical and the horizontal mattress suture are typically tied using a square knot. Since it actually has two anchors in both the deep and shallow penetration along the same linear path the vertical mattress suture has excellent tensile strength. Some of the most common types of sutures include running sutures barbed sutures and mattress sutures.

The corner stitch a variation of the. Horizontal mattress suturing is a fairly useful back pocket trick to have in your repair arsenal. It s most useful for high tension wounds especially when the edges are fragile or frayed.

A vertical mattress suture is especially useful in maximizing wound eversion reducing dead space and minimizing tension across the wound. The interrupted horizontal and vertical mattress suture techniques are two of the most commonly used skin closure methods 1 3 these techniques provide many advantages including the closure of. The corner stitch a variation of the.