Horizontal Mattress Suture

1. Horizontal Mattress Suture The horizontal mattress suture is made by entering the needle in skin approximately 5mm to 1 cm from the edge of the wound. The suture is made to pass through deep in dermis to the suture lines opposite side and then exits the skin at the same distance from the edge of the wound. The needle enters the skin again on the suture line’s side just 1 cm from the exit point. The stitch is then made to pass deep to the wounds opposite side. Then it exits the skin and the knot is tied. The Modified half-buried horizontal mattress suture is a style of suture in which an extra vertical mattress suture is positioned superficially to a half-buried horizontal mattress suture. Instead of forceps a small skin hook is deployed in it to evade the flap’s trauma. The deep tip stitch is actually a fully buried variant of three-corner stitch. The suture is positioned into the wound edge’s deep dermis to which flap is attached. The flap is then passed through the flap tip’s dermis and pushed into deep dermis of wound edge at the opposite side. Horizontal Mattress Suture