Mattress Stitch Suture
It is an interrupted stitch which means that each stitch is tied off before creating the next stitch.
Mattress stitch suture. The horizontal mattress stitch is a suture technique used to close wounds it everts skin well and spreads tension along the wound edge. 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. The mattress suture is a common stitch used to close wounds.
This type of suture tends to be performed using non absorbable suture material. It s most useful for high tension wounds especially when the edges are fragile or frayed. It is strong and can be used to close relatively wide wounds.
An excellent and underutilized technique is the placement of vertical mattress sutures in traumatic wounds which combines the advantages of the deep dermal removing tension from the skin surface and the epidermal simple interrupted suture wound edge approximation eversion. The horizontal mattress is so secure that it can compromise blood. The far and near suture is a modified vertical mattress stitch that uses the tension created by a pulley action to close wound tissue.
Learn how to perform a horizontal mattress suture. Advanced suture techniques are covered in this lesson. Because the pulley stitch reduces the surface area of large wounds in which closure cannot be accomplished completely by traditional side to side sutures it is an excellent technique for areas such as the legs.
Mattress sutures are often performed as the anchoring stitch for skin flap closure 1 mattress suture techniques also promote skin edge eversion 1 8 because scars tend to retract over time. This is an especially useful technique for areas where skin is lax or thin and. The vertical and the horizontal.
There are two basic variations. Like us on facebook. 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.