What is the difference between a horizontal and vertical mattress suture?

What is the difference between a horizontal and vertical mattress suture?

The horizontal mattress is also comprised of two bites across the wound margin, but unlike the vertical mattress, these bites are spaced apart along the horizontal plane, are at the same distance from the wound margin, and reach the same depth.

When do you use horizontal mattress suture?

The horizontal mattress suture is useful for wounds under high tension because it provides strength and wound eversion. This suture may also be used as a stay stitch for temporary approximation of wound edges, allowing placement of simple interrupted or subcuticular stitches.

When do you use a vertical mattress suture?

Vertical mattress sutures are particularly useful in wounds under tension. They also help to evert wound edges in situations where the skin is prone to naturally inverting into the wound. The vertical mattress stitch has one deep throw and one superficial throw (directly above and parallel) to evert the skin edges.

How do you suture a horizontal mattress?

Starts here1:14Horizontal Mattress Suture – YouTubeYouTubeStart of suggested clipEnd of suggested clip43 second suggested clipThis is ideal for averting the wound edges to facilitate optimal healing to perform a horizontalMoreThis is ideal for averting the wound edges to facilitate optimal healing to perform a horizontal mattress stitch drive the needle horizontally across the wound.

How do you do a vertical stitch on a mattress?

Starts here3:286. The Vertical Mattress Suture – YouTubeYouTube

What are the different types of suture materials?

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). A synthetic monofilament suture.
• Silk. A braided natural suture.
• Polyester (Ethibond). A braided synthetic suture.

What is ideal distance between sutures?

The distance between sutures should be roughly ½ the length of the individual sutures. Place the first suture in the center of the wound if approximation will be difficult, continuing by closing the distance to the wound edges by ½ to minimize tension forces on the tissue wall.

When to use mattress sutures?

Mattress sutures. Mattress sutures are techniques used to close an open wound using stitches. The purpose of using mattress sutures is to help close the wound, support the wound until it heals, minimize the bleeding and help prevent infection. The common techniques used for mattress sutures are horizontal, vertical and corner stitch methods.

What is a vertical mattress stitch?

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.

What is a horizontal mattress?

The horizontal mattress stitch is a suture technique used to close wounds. It everts skin well and spreads tension along the wound edge. 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.

What is a mattress suture?

Medical Definition of mattress suture. : a surgical stitch in which the suture is passed back and forth through both edges of a wound so that the needle is reinserted each time on the side of exit and passes through to the side of insertion—called also mattress stitch.