15) Vertical Mattress
Summary
This online session will teach medical professionals how to perform a vertical mattress suture, an important technique for securely closing wounds. You'll learn how to use a needle driver, suture, and scissors, as well as backhand and forehand throws. Learn how to tie the sutures so the knot is not too tight but secure enough for good skin edgeversion. After the session, you'll have the confidence to perform vertical mattress sutures to prevent infection and improve the aesthetic outcome.
Learning objectives
Learning Objectives:
- Describe the purpose and use of a vertical mattress suture
- Identify the materials needed to perform a vertical mattress suture
- Properly demonstrate the technique for a “far-far near-near” suture throw
- Accurately explain the difference between a “forehand” and “backhand” needle throw
- Execute the instrument tie and knot-tying technique for a vertical mattress suture
Related content
Similar communities
Similar events and on demand videos
Computer generated transcript
Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.
Today, we're going to learn how to perform a vertical mattress suture. For the future, you will need a needle driver pickups, suture, suture, scissors, and you're behind the knife's you dream board. The vertical mattress stitch allows for greater closure strength and allows for better skin edgy version. The suture is good for areas like the posterior neck or other body areas where the skin commonly inverts. So we're gonna start by picking up our needle drivers and loading our needle into them in the orientation for a forehand throw. The suture is thrown in a far, far near near fashion. It's going to look something like this. The first throw is going to start around 5 to 8 millimeters from the wound edge and we'll go fairly deep into the wound below the dermis. The first throw for the future may be difficult to do in a single bite. So I will take it into, I'm going back into the wound here below the dermis and coming out around 5 to 8 millimeters on the other side of the wound. For the near near portion of suture, the needle will be need to be in the needle drivers in the orientation for a backhand throw for the near near portion. Now, we're going to enter the skin within 1 to 2 millimeters of the wound edge. And this will be superficial where the needle should stay in the upper part of the dermis. The store is easier to take in one bite. So will come out on the other side of the wound here within 1 to 2 millimeters of that wound edge. So at this point, both ends of the suture thread should be on one side of the wound. Well, now instrument tie these ends. So the knot is on the side where the suture initially started when tying is not, the sutures should be tied down, snug but not excessively tight as the titer, the knot is the more a version of the skin edges, which will produce a more extensive scar. Once you've cut the suture here, you've completed a vertical mattress suture.