More formally known as the half buried horizontal mattress suture the corner stitch is an invaluable technique for closure of stellate lacerations. In a modified half buried horizontal mattress suture an additional vertical mattress suture is placed superficial to the half buried horizontal mattress suture.
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Running horizontal mattress suture.
Half buried horizontal mattress suture. Horizontal mattress figure of 8 half buried suture techniques narrated by michael r. A simple variation of the horizontal mattress suture the half buried mattress also called the corner stitch three point and the army navy suture is discussed herein. Approaches to surgical wound laceration and cosmetic repair kantor j.
This combination technique also avoids the characteristic railroad track marks that result from prolonged non absorbable suture retention. If you found this interesting you can view more on you tube at first assisting techniques and tricks. The buried horizontal mattress suture is used to eliminate dead space reduce the size of a defect or reduce tension across wounds.
The running horizontal mattress suture is used for skin eversion. This video demonstrates how to do a half buried mattress and when a surgeon may use it. Buried horizontal mattress suture.
It is useful in areas with a high tendency for inversion such as the neck. The hybrid mattress suture judiciously balances the pros and cons of vertical and horizontal mattress suturing and is executed with speed. Employ a combination of vertical and horizontal mattress on opposite sides of the defect a technique suited to closing unequal size margins.
The buried horizontal mattress suture atlas of suturing techniques. It is most suitable for y shaped lacerations with a flap edge but variations can also be employed for v and x shaped lacerations. Using the combination of a horizontal running mattress suture with intermittent loops achieves both good eversion with the horizontal running mattress plus the ease of removal of the simple loops.
The horizontal mattress suture figure 2is initiated by inserting the needle about 4 to 8 mm from the wound edge slightly farther from the wound edge than for placement of. A small skin hook instead of.
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