Mattress Stitch Wound Closure

The corner stitch more formally known as the half buried horizontal mattress suture the corner stitch is an invaluable technique for closure of stellate lacerations.

Mattress stitch wound closure. This type of suture tends to be performed using non absorbable suture material. Although mattress sutures can produce surface scarring or advertisement. Patients registered nurses and the operating surgeon all reported that wound closure using a single intracuticular horizontal mattress suture was associated with the highest overall satisfaction.

The corner stitch a variation of the horizontal mattress suture is commonly used for closure of angled skin flaps or wounds. You can even clip this suture in the end one less foreign body in the wound to worry about. The horizontal mattress is so secure that it can compromise blood.

Surgical repair closure procedures on the integumentary system use the codes in this section to designate wound closure utilizing sutures staples or tissue adhesives eg 2 cyanoacrylate either singly or in combination with each other or in combination with adhesive strips. 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. 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.

It exits 2 mm from the edge on the starting side. A nice use of this technique is to place the horizontal mattress first to act as your assistant holding the wound edges approximated while you perform a more meticulous closure. The wound closure methods studied included tissue adhesive a single intracuticular hori zontal mattress suture or a running intracuticular suture.

It is then reinserted 2 mm from the edge. The vertical mattress suture far far near near system inserts in the center of the wound 4 mm from the wound edge. The horizontal mattress stitch is a suture technique used to close wounds it everts skin well and spreads tension along the wound edge.

The horizontal mattress suture inserts 4 mm from the wound edge and 2 mm below the center of the.