How is the half-buried vertical mattress suture placed?

Updated: Mar 05, 2020
  • Author: Desiree Ratner, MD; Chief Editor: Dirk M Elston, MD  more...
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A half-buried vertical mattress suture is a modification of a vertical mattress suture that eliminates two of the four entry points, thereby reducing scarring. It is placed in the same manner as the vertical mattress suture, except that the needle penetrates the skin to the level of the deep part of the dermis on one side of the wound, takes a bite in the deep part of the dermis on the opposite side without exiting the skin, crosses back to the original side, and finally exits the skin. Entry and exit points thus are kept on one side of the wound.

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