mattress sutures

mattress sutures

interrupted sutures that cause minimal tension at wound edges; see Figure 1; Table 1
Figure 1: Examples of suture techniques. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).
Table 1: Types of suturing techniques (see also Figure H4)
Suture techniqueVariant
Simple interruptedIndividual tied-off loops, placed orthogonally to the wound line through apposed tissues
Mattress suturesHorizontal mattress: oriented parallel to the wound line
Vertical mattress: oriented at right angles to the wound line
Continuous suturesContinuous locking: as in blanket stitch, in embroidery
Subcuticular: a continuous closure, using an unbroken suture tied off at each end
Subcuticular suturesA continuous suture inserted immediately below the skin that apposes the sides of the wound
Figure 2: Examples of suture techniques. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).
References in periodicals archive ?
Follow this with 7-0 nylon vertical mattress sutures in the columella and alar-facial incisions.
Surgical debridement was performed, with the hawk under general anesthesia as previously described, and the wound was closed with 4-0 nylon horizontal mattress sutures.
Even now, when the endometrial cavity is entered at the time of myomectomy, this is the technique I currently recommend, with the interrupted or mattress sutures placed immediately above the endometrium.
Inside-out repair with vertical mattress sutures is considered the "gold standard" of meniscal repair.
Cardiorrhaphy is done using pledgeted mattress sutures.
The incision is closed with one or two buried dissolvable sutures while the skin is approximated with 6-0 gut horizontal mattress sutures.
For the medial row in both techniques, horizontal mattress sutures were created, with both suture limbs passed through the tendon, 15 mm from its lateral edge.
Vertical mattress sutures of 4-0 chromic catgut were used to appose the enterotomy incision, and simple continuous sutures of 4-0 chromic catgut were used to close the subcutaneous tissue.
The inferior pole of the earlobe is reconstructed with two or three mattress sutures to evert the wound edge, and the entire repair leaves a T-shaped scar (figure, D).
The proximal end of the supraspinatus tendons were prepared by attaching a looped Dacron strap with multiple mattress sutures to provide a means to apply load to the repair.
Secure the flap with mattress sutures, and close the donor site primarily (figure 2, C and D).