How is the half-buried horizontal suture placed?

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

A half-buried horizontal suture (also referred to as a tip stitch or three-point corner stitch) begins on the side of the wound on which the flap is to be attached. The suture is passed through the dermis of the wound edge to the dermis of the flap tip. The needle is passed laterally in the same dermal plane of the flap tip, exits the flap tip, and reenters the skin to which the flap is to be attached. The needle is directed perpendicularly and exits the skin; the knot is then tied (see the image below).

Half-buried horizontal suture (tip stitch, three-p Half-buried horizontal suture (tip stitch, three-point corner stitch).

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