Horizontal Mattress Suture. The horizontal mattress suture is an everting suture technique that spreads tension along a wound edge. 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).
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What suture line holds the wound edges in approximation?
Horizontal mattress suture
This suture may also be used as a stay stitch for temporary approximation of wound edges, allowing placement of simple interrupted or subcuticular stitches.
What type of stitch is used for skin edges primarily?
Figure-of-eight stitch. Subcuticular stitch. A continuous suture where the needle enters and exits the epidermis along the plane of the skin. This stitch is for approximating superficial skin edges and provides the best cosmetic result.
What are Vicryl sutures used for?
Vicryl sutures were used to suture small and large intestine, peritoneum, fascia, muscle, subcutaneous tissue, and skin and were used in thoracotomy closure.
What kind of stitch is used for wounds?
Sutures (Stitches)
This is the most common technique for closing skin wounds. A doctor uses a piece of surgical thread called a suture to sew (or stitch) two ends of skin together.
When do you use Prolene suture?
Prolene is often the preferred choice for plastic and cardiovascular surgeries and is recommended if a minimal reaction to the suture is desired, such as with use in infected wounds.
When do you use Subcuticular suture?
Subcuticular sutures are commonly used for surgical wound closure. We have found that knots and free ends can protrude through the skin, leading to minor wound infections. We have devised a simple, reliable technique to avoid these problems.
What are the 4 types of sutures?
First, suture material can be classified as either absorbable or nonabsorbable.
These types of sutures can all be used generally for soft tissue repair, including for both cardiovascular and neurological procedures.
- Nylon. A natural monofilament suture.
- Polypropylene (Prolene).
- Silk.
- Polyester (Ethibond).
Which suture is best for skin closure?
Optimal cosmetic results can be achieved by using the finest suture possible, depending on skin thickness and wound tension. In general, a 3–0 or 4–0 suture is appropriate on the trunk, 4–0 or 5–0 on the extremities and scalp, and 5–0 or 6–0 on the face.
What is Ethilon suture used for?
ETHILON Suture is dyed black or green to enhance visibility in tissue. ETHILON Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.
What is silk suture used for?
Silk sutures are coated and braided non-absorbable sutures. Silk sutures are specially treated with silicone to give strength and smoothen the surface which provides easy passage through tissues. Silk sutures are widely used as ligature and are also used for other applications like skin, ophthalmic, GI tract, etc.
What is the difference between Monocryl and Vicryl?
Monocryl has identical knot performance compared with Vicryl, similar performance to PDS, and lesser performance compared with Maxon. Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS. Monocryl loses 70% to 80% of its tensile strength at 1 and 2 weeks.
What is Monocryl used for?
It comes both dyed (violet) and undyed (clear) and is an absorbable monofilament suture. It is generally used for soft-tissue approximation and ligation. It is used frequently for subcuticular dermis closures of the face. It has less of a tendency to exit through the skin after it breaks down, such as Vicryl.
What are the types of sutures?
There are two varieties of sutures: absorbable and non-absorbable.
When do you use absorbable and nonabsorbable sutures?
Both absorbable and non-absorbable suture materials are available for wound closure. Absorbable sutures do not require removal and may, therefore, save clinic time and reduce patient anxiety postoperatively. Non-absorbable sutures may be less likely to elicit an inflammatory response or break prematurely.
Where are absorbable sutures used?
Absorbable sutures are commonly used for deep tissues and tissues that heal rapidly; as a result, they may be used in small bowel anastomosis, suturing in the urinary or biliary tracts, or tying off small vessels near the skin.
What is Prolene used for?
It is used for repairing hernias and other injuries to the fascia. Prolene commonly is used in both human and veterinary medicine for skin closure. In human medicine it is used in cardiovascular, ophthalmic and neurological procedures. It is often used in conjunction with the absorbable suture Monocryl.
What is polyester suture used for?
Polyester sutures are composed of polyester which is a category of polymers which contain the ester functional group in their main chain. Polyester sutures are used for permanent, removable fixtures, cardiovascular surgery.
Is catgut suture absorbable?
Catgut is a monofilament absorbable suture with good tensile strength that retains optimum strength to hold tissues together. It is smooth and pliable, has good knotting property and disappears completely between 60 and 120 days depending on its size [2].
What is Subcuticular suturing?
Subcuticular sutures are intradermal stitches (placed immediately below the epidermal layer). The increased availability of synthetic absorbable filaments (stitches which are absorbed by the body and do not have to be removed) has led to an increased use of subcuticular sutures.
What is Subcuticular?
‘Subcuticular’ means intradermal; i.e. within the layer of the skin (immediately below the epidermal layer). Subcuticular sutures can be either absorbable or non‐absorbable .