What are indications for the running horizontal mattress suture technique?

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

The running horizontal mattress suture is used for skin eversion. It is useful in areas with a high tendency for inversion, such as the neck. It can also be useful for reducing the spread of facial scars. If the sutures are tied too tightly, tissue strangulation is a risk. Although it is slightly more time-consuming to place, this suture appears to result in smoother and flatter scars than a simple running suture. [13] A modification of the horizontal running suture with intermittent single loops was recently reported to avoid the characteristic track marks resulting from suture tension while increasing wound eversion. [14] Other modifications include the V-shaped Victory stitch. [15]


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