Journal of Cutaneous and Aesthetic Surgery
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SURGICAL PEARL
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 54-56

Horizontal running mattress suture modified with intermittent simple loops


1 Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
2 Department of Dermatology, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

Correspondence Address:
Anna H Chacon
1475 N. W. 12th Avenue, Miami, FL 33136
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.110102

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Using the combination of a horizontal running mattress suture with intermittent loops achieves both good eversion with the horizontal running mattress plus the ease of removal of the simple loops. This combination technique also avoids the characteristic railroad track marks that result from prolonged non-absorbable suture retention. The unique feature of our technique is the incorporation of one simple running suture after every two runs of the horizontal running mattress suture. To demonstrate its utility, we used the suturing technique on several patients and analyzed the cosmetic outcome with post-operative photographs in comparison to other suturing techniques. In summary, the combination of running horizontal mattress suture with simple intermittent loops demonstrates functional and cosmetic benefits that can be readily taught, comprehended, and employed, leading to desirable aesthetic results and wound edge eversion.


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