How is the far-near near-far modified vertical mattress suture placed?

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

Another stitch that serves the same function as a pulley suture is a far-near near-far modified vertical mattress suture. The first loop is placed about 4-6 mm from the wound edge on the far side and about 2 mm from the wound edge on the near side. The suture crosses the suture line and reenters the skin on the original side at 2 mm from the wound edge on the near side. The loop is completed, and the suture exits the skin on the opposite side 4-6 mm away from the wound edge on the far side (see the image below). A pulley effect is thus created.

Far-near near-far modification of vertical mattres Far-near near-far modification of vertical mattress suture, creating pulley effect.

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