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Horizontal Mattress Suture

Horizontal Mattress Suture


Horizontal Mattress Suture

The horizontal mattress suture is an everting suture technique that spreads tension along a wound edge.1,6,7 This technique is commonly used for pulling wound edges together over a distance, or as the initial suture to anchor two wound edges (holding sutures).1,3,7 These sutures, like the vertical mattress sutures, incorporate a large amount of tissue within the passage of the suture thread, and they can serve as effective initial sutures in holding skin flaps in place.1,3 The suture is also effective in holding fragile skin together, such as the skin of an elderly patient or a patient receiving chronic steroid therapy.

The horizontal mattress suture (Figure 2) is initiated by inserting the needle about 4 to 8 mm from the wound edge, slightly farther from the wound edge than for placement of simple interrupted sutures. The needle passes through to the opposite wound edge, where it exits the skin. The needle is placed backwards in the needle driver, inserted into the skin about 4 to 8 mm farther down that edge (the edge where the needle has just been passed through), and passed from the far side of the wound back to the near side. The needle exits the skin about 4 to 8 mm down the original wound edge from the original insertion site. The suture is tied gently on the side of the wound where the suturing began.






Categorised as: Suturing

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