Horizontal Mattress Vs Vertical Mattress Suture

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Horizontal mattress vs vertical mattress suture. 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. It s most useful for high tension wounds especially when the edges are fragile or frayed. 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 is so secure that it can compromise blood. The corner stitch a variation of the. Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be brought together over a distance.

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. 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. One of the disadvantages of this suture is crosshatching.

A vertical mattress suture is especially useful in maximizing wound eversion reducing dead space and minimizing tension across the wound. Both the vertical and the horizontal mattress suture are typically tied using a square knot. The horizontal mattress pattern starts by creating a simple interrupted pattern but instead of tying the suture the needle is inserted 6 8 mm laterally on the same side as the needle exited it crosses to the other side of the incision to exit directly across 6 8 mm lateral to the first site of entry in the skin.

Vertical mattress sutures 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. In this video we will show you the difference between horizontal vertical mattress suture and the difference between the uses of both enjoy watching and learning.