What are indications for the absorbable buried suture technique?

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

Absorbable buried sutures are used as part of a layered closure in wounds under moderate-to-high tension. Buried sutures provide support to the wound and reduce tension on the wound edges, allowing better epidermal approximation of the wound. They are also used to eliminate dead space, or they are used as anchor sutures to fix the overlying tissue to the underlying structures. Wounds under significant tension may benefit from the use of a subcutaneous inverted cross-mattress stitch (SICM stitch), which can approximate such wounds relatively easily via a lateral pulley effect. [10, 11]


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