Suture Techniques and Training Series: Interrupted Vertical Mattress Suture Technique

Suture Techniques and Training Series: Interrupted Vertical Mattress Suture Technique
Credit: A.S.A.
• A bite is taken 8-10 mm away from the wound and passes through to an equal distance away from the wound on the opposite side.
• The suture is then repeated back across the wound, but this time, a bite is taken vertically from the original bite 3-4 mm away from the wound, creating a vertical suture on either side.
• A knot is then placed to join the suture material on the original side.
• This suture is more effective at relieving tension than the horizontal mattress.
• Appositional to everting.
• Stronger in tissues under tension than horizontal mattress.
• Less likely to occlude small vessels at the wound edge.
Usages
• Closure in areas of high tension (i.e. some situations of skin closure).

[@SHODUNKEABODUNRIN-li8oh]

Good display but the knotting shows multiple granny knots. The short end of the sutures should be cinched down in alternate directions. Add commentary please and show the wrists and hand movement of the operator for clearity.

[@ChickentNug]

When would you choose an interrupted suture pattern over a continuous one and vise versa?

[@driveincanada9713]

🌹🌹🌹

[@SurgMedia]

Thank you very much for your appreciation.