What are indications for the far-near near-far modified vertical mattress suture technique?

Updated: Mar 05, 2020
  • Author: Desiree Ratner, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

The far-near near-far modification of the vertical mattress suture, which basically functions as a pulley suture, is useful when tissue expansion is desired, and it may be used intraoperatively for this purpose. This suture is also useful when one is beginning the closure of a wound that is under significant tension. Placing pulley stitches first allows the wound edges to be approximated, thereby facilitating the placement of buried sutures.

When wound closure is complete, the pulley stitches may be either left in place or removed if wound tension has been adequately distributed after placement of the buried and surface sutures.


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