24.12.2012 Views

Practical Plastic Surgery for Nonsurgeons

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10 <strong>Practical</strong> <strong>Plastic</strong> <strong>Surgery</strong> <strong>for</strong> <strong>Nonsurgeons</strong><br />

Mattress Sutures<br />

A, Interrupted sutures are<br />

individually placed and<br />

tied. B, A continuous suture<br />

is done by passing the<br />

needle from side to side<br />

(across the wound) multiple<br />

times be<strong>for</strong>e finally<br />

tying the suture.<br />

Indication. Mattress sutures are a good choice when the skin edges<br />

are difficult to evert. Sometimes you may want to close a wound with a<br />

few scattered mattress sutures and place simple sutures between them.<br />

It is a bit more technically challenging to place mattress sutures, but it<br />

is often worth the ef<strong>for</strong>t because good dermis-to-dermis contact is<br />

achieved.

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