What are indications for the modified half-buried horizontal mattress suture technique?

Updated: Mar 05, 2020
  • Author: Desiree Ratner, MD; Chief Editor: Dirk M Elston, MD  more...
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The modified corner stitch allows equal eversion of the flap tip edges and improved aesthetic outcomes. Although it may increase risk of necrosis if tied too tightly, a study by Bechara et al suggested that the incidence of flap tip necrosis was comparable with that of the traditional corner stitch. [9]  Modified subcutaneous buried horizontal mattress sutures relieve more wound tension and have a lower risk of dehiscence compared with vertical buried mattress sutures. [20]

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