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Horizontal Mattress Suture

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21. Interrupted Oblique Intradermal Suture Versus Conventional Interrupted Intradermal Suture

to receive bi-layered closure and obtain a better wound outcome. Several novel intradermal suturing techniques could be alternative to the conventional interrupted intradermal suture technique, including buried butterfly suture, double butterfly suture, subcutaneous inverted cross mattress suture, and interrupted oblique intradermal suture. Among these novel techniques, interrupted oblique intradermal suture (OIS) is recognized for its relative simplicity. OIS is easy to perform, even for beginners (...) -image fashion. The thread is tied with a square knot to finish the suture. The key characteristic that distinguishes OIS from IS is that OIS involves suturing on an angle to the vertical plane and IS involves suturing on the vertical plane. In theory, OIS is a hybrid method that combines IS and buried horizontal butterfly suture. OIS combines the ability of IS to reduce tension at the wound edge and the ability of horizontal butterfly suture to provide good wound edge apposition and eversion

2016 Clinical Trials

22. The effect of inclination angle on the strength of vertical mattress configuration for meniscus repair. (Abstract)

longitudinal incision was created in two groups of bovine medial menisci. In the first group, the distance between the two vertical suture strands and the vertical horizontal sutures on the capsular side of the meniscal lesion was 2 mm (Group 1). In the second group, the distance was 5 mm (Group 2). The following repair specimens underwent cyclic loading prior to loading the failure testing. The endpoints included ultimate failure load (N), stiffness (N/mm) and cyclic displacement (mm) after the 100 cycles (...) The effect of inclination angle on the strength of vertical mattress configuration for meniscus repair. Vertical mattress configuration is the strongest of all other configurations and the repairing devices of meniscus repair. The purpose was whether increasing the inclination angle between two strands of the vertical mattress configuration by increasing the amount of meniscus tissue captured would enhance the initial strength of the construction.A 2-cm long anteroposterior vertical

2015 Knee Surgery, Sports Traumatology, Arthroscopy

23. Knotless rotator cuff repair in an external rotation model: the importance of medial-row horizontal mattress sutures. (Abstract)

Knotless rotator cuff repair in an external rotation model: the importance of medial-row horizontal mattress sutures. To evaluate the effect of the addition of 2 horizontal mattress knots to the medial row of a knotless rotator cuff construct on the biomechanical properties in terms of both cyclic and failure testing parameters in an external rotation model.In 8 fresh-frozen human cadaveric shoulders, a knotless transosseous repair was performed, whereas in 8 contralateral matched-pair (...) (7.67 mm v 1.77 mm) (P = .02).The modified construct shows improved biomechanical properties when allowing for external rotation during high-load testing. Using an additional horizontal mattress from separate sutures in the medial-row anchors helps to neutralize forces experienced by the repair.The addition of medial-row fixation to a knotless construct will enhance the stability of rotator cuff repairs with the goal of improved patient outcomes.Copyright © 2011 Arthroscopy Association of North

2011 Arthroscopy

24. The Victory Stitch: A Novel Running V-Shaped Horizontal Mattress Suturing Technique. (Abstract)

The Victory Stitch: A Novel Running V-Shaped Horizontal Mattress Suturing Technique. 21967500 2012 01 11 2012 11 15 1524-4725 37 11 2011 Nov Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] Dermatol Surg The Victory stitch: a novel running v-shaped horizontal mattress suturing technique. 1663-5 10.1111/j.1524-4725.2011.02119.x Eleftheriou Lydia I LI Department of Dermatology, University of Minnesota, Minneapolis, Minnesota 55455, USA. Weinberger (...) Christine H CH Endrizzi Bart T BT Ray Theresa L TL Chow Steven S Tsang Matthew W MW Lee Peter K PK eng Journal Article 2011 10 03 United States Dermatol Surg 9504371 1076-0512 IM Dermatologic Surgical Procedures Epidermis surgery Humans Mohs Surgery Suture Techniques standards Wound Healing 2011 10 5 6 0 2011 10 5 6 0 2012 1 12 6 0 ppublish 21967500 10.1111/j.1524-4725.2011.02119.x

2011 Dermatologic Surgery

25. Effects of different sutures on fibrosis and wound healing in a rabbit model of corneal wounds Full Text available with Trip Pro

Effects of different sutures on fibrosis and wound healing in a rabbit model of corneal wounds The aim of the study was to investigate wound healing and scar formation in rabbit corneal lamellar wounds repaired with simple interrupted sutures (SIS) or horizontal mattress sutures (HMS). Two parallel 'I'-shaped lamellar cornea wounds were created in one eye of 40 white New Zealand rabbits, while 5 uninjured rabbits were sacrificed to serve as normal controls. One side of the wounds, in the test (...) rabbits, was closed with SIS, while the other side was treated with HMS. Ten days later, the stitches were removed under anesthesia. The animals were sacrificed on days 14 and 21, and months 3 and 6 after the suturing surgery, and corneal samples were subjected to histological and immunofluorescent studies: α-smooth muscle actin (α-SMA) and vimentin were used to detect myofibroblasts and fibroblasts, respectively, and collagen type I and III was used to detect extracellular matrix (ECM) deposition

2016 Experimental and therapeutic medicine

26. A novel suturing approach for tissue displacement within minimally invasive periodontal plastic surgery Full Text available with Trip Pro

A novel suturing approach for tissue displacement within minimally invasive periodontal plastic surgery This paper describes a novel suturing approach that achieves harmonious and atraumatic soft tissue displacement in periodontal plastic surgery and soft tissue management around implants. The technique relies on a combination of horizontal and vertical mattress that are anchored at the splinted incisal contact points.

2016 Clinical Case Reports

27. Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective. Full Text available with Trip Pro

for diaphragm plication since 2008. We used a single, buttressed, double-layered, to-and-fro running suture with additional plicating horizontal mattress sutures as needed.Eighteen patients underwent thoracoscopic plication from 2008 to 2015. There were no operative mortalities and 2 unrelated late deaths. Median hospital stay was 3 days (range, 1-12). Atrial fibrillation occurred in 1 patient (5.5%), pneumonia occurred in 2 patients (11%), reintubation occurred in 1 patient (5.5%), and ileus occurred in 1 (...) Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective. Surgeons have hesitated to adopt minimally invasive diaphragm plication techniques because of technical limitations rendering the procedure cumbersome or leading to early failure or reduced efficacy. We sought to demonstrate efficacy and durability of our thoracoscopic plication technique using a single running suture.We retrospectively reviewed patients who underwent our technique

2016 Journal of Thoracic and Cardiovascular Surgery

28. Novel method for hybrid endo-laparoscopic full-thickness gastric resection using laparoscopic transgastric suture passer device. (Abstract)

in the upper third of the posterior wall in eight pigs. A custom-made laparoscopic "suture passer" was made of a sharpened bendable dissecting forceps. Full-thickness sutures were alternatively passed from the serosa side with the suture passer through the gastric wall and grabbed endoluminally using an endoscopic grasper and vice versa. These transgastric sutures formed either a purse string (PS; n = 4) or a continuous horizontal mattress (HM; n = 4). Sutures were then fastened from the laparoscopic side (...) Novel method for hybrid endo-laparoscopic full-thickness gastric resection using laparoscopic transgastric suture passer device. Current surgical methods for partial gastric full-thickness resections (FTRs) are limited by long operative times and risk of gastric content spillage, especially for lesions located at the posterior wall. We propose a simplified hybrid approach to FTR with reduced risk of spillage.Resection margins were marked by endoscopic electrocautery to simulate a gastric lesion

2015 Surgical endoscopy

29. Modified Mason-Allen Suture Bridge Technique: A New Suture Bridge Technique with Improved Tissue Holding by the Modified Mason-Allen Stitch Full Text available with Trip Pro

Modified Mason-Allen Suture Bridge Technique: A New Suture Bridge Technique with Improved Tissue Holding by the Modified Mason-Allen Stitch We present a new method of suture bridge technique for medial row fixation using a modified Mason-Allen stitch instead of a horizontal mattress. Medial row configuration of the technique is composed of the simple stitch limb and the modified Mason-Allen stitch limb. The limbs are passed through the tendon by a shuttle relay. The simple stitch limb passes (...) the cuff once and the modified Mason-Allen stitch limb passes three times which creates a rip stop that prevents tendon pull-out. In addition, the Mason-Allen suture bridge configuration is basically a knotless technique which has an advantage of reducing a possibility of strangulation of the rotator cuff tendon, impingement or irritation that may be caused by knot.

2012 Clinics in orthopedic surgery

30. The biomechanical effects of polytetrafluoroethylene suture augmentations in lateral-row rotator cuff repairs in an ovine model. (Abstract)

The biomechanical effects of polytetrafluoroethylene suture augmentations in lateral-row rotator cuff repairs in an ovine model. This study investigated the biomechanical effects of expanded polytetrafluoroethylene (ePTFE) suture augmentation patches in rotator cuff repair constructs.The infraspinatus tendon in 24 cadaveric ovine shoulders was repaired using an inverted horizontal mattress suture with 2 knotless bone anchors (ArthroCare, Austin, TX, USA) in a lateral-row configuration. Four (...) different repair groups (6 per group) were created: (1) standard repair using inverted horizontal mattress sutures, (2) repair with ePTFE suture augmentations on the bursal side of the tendon, (3) repair with ePTFE suture augmentations on the articular side, and, (4) repair with ePTFE suture augmentations on both sides of the tendon. Footprint contact pressure, stiffness, and the load to failure of the repair constructs were measured.Repairs with ePTFE suture augmentations on the bursal side exerted

2014 Journal of Shoulder and Elbow Surgery

31. Suturing Techniques (Overview)

of the buried and surface sutures. Horizontal mattress suture The horizontal mattress suture is useful for wounds under high tension because it provides strength and wound eversion. This suture may also be used as a stay stitch for temporary approximation of wound edges, allowing placement of simple interrupted or subcuticular stitches. The temporary stitches are removed after the tension is evenly distributed across the wound. Horizontal mattress sutures may be left in place for a few days if wound tension (...) persists after placement of the remaining stitches. In areas of extremely high tension at risk for dehiscence, horizontal mattress sutures may be left in place even after removal of the superficial skin sutures. However, they have a high risk of producing suture marks if left in place for longer than 7 days. Horizontal mattress sutures may be placed before a proposed excision as a skin expansion technique to reduce tension. Improved eversion may be achieved with this stitch in wounds without

2014 eMedicine.com

32. Sutures and Needles

. Horizontal mattress suture The horizontal mattress suture is useful for wounds under high tension because it provides strength and wound eversion. This suture may also be used as a stay stitch for temporary approximation of wound edges, allowing placement of simple interrupted or subcuticular stitches. The temporary stitches are removed after the tension is evenly distributed across the wound. Horizontal mattress sutures may be left in place for a few days if wound tension persists after placement (...) of the remaining stitches. In areas of extremely high tension at risk for dehiscence, horizontal mattress sutures may be left in place even after removal of the superficial skin sutures. However, they have a high risk of producing suture marks if left in place for longer than 7 days. Horizontal mattress sutures may be placed before a proposed excision as a skin expansion technique to reduce tension. Improved eversion may be achieved with this stitch in wounds without significant tension by using small bites

2014 eMedicine Surgery

33. Self-directed practice schedule enhances learning of suturing skills Full Text available with Trip Pro

schedules (random or blocked) on learning suturing skills.Participants watched an instructional video for simple interrupted, vertical mattress and horizontal mattress suturing then completed a pretest to assess baseline skills. Participants were assigned to 1 of 4 practice groups: self-directed practice schedule, prescribed blocked practice schedule, prescribed random practice schedule or matched to the self-directed group (control). Practice of the skill was followed by a delayed (1 h) posttest (...) Self-directed practice schedule enhances learning of suturing skills Most preoperative surgical training programs experience challenges with the availability of expert surgeons to teach trainees. Some research suggests that trainees may benefit from being allowed to actively shape their learning environments, which could alleviate some of the time and resource pressures in surgical training. The purpose of this study was to investigate the effects of self-directed or prescribed practice

2013 Canadian Journal of Surgery

34. V-Hilar Suture Renorrhaphy During Robotic Partial Nephrectomy for Renal Hilar Tumors: Preliminary Outcomes of a Novel Surgical Technique. (Abstract)

patients, only 5 had been considered for VHS renorrhaphy and were compared with the rest. The patients' demographic and perioperative data were recorded. They were followed up postoperatively for renal function. The VHS renorrhaphy was obtained by first having inner layer sutures to reshape the renal parenchyma with medialization of the central-lateral border of the resection bed. Next, a continuous horizontal mattress suture was used to reapproximate the renal capsule.The main patient and tumor (...) V-Hilar Suture Renorrhaphy During Robotic Partial Nephrectomy for Renal Hilar Tumors: Preliminary Outcomes of a Novel Surgical Technique. To report the preliminary outcomes of a novel renorrhaphy surgical technique, V-hilar suture (VHS), developed and implemented at our institution to manage hilar masses chosen for robotic partial nephrectomy.Of all patients who underwent robotic partial nephrectomy for a single renal tumor from June 2007 to October 2011, 15 had hilar renal tumors. Of these 15

2012 Urology

35. Maximum tensile force of different suture techniques in reconstruction of the renal remnant after nephron-sparing surgery. (Abstract)

porcine kidneys (with and without an intact renal capsule) was reconstructed using three different suture techniques (simple, vertical, and horizontal mattress suture). The maximum tensile force before the suture tears through the renal remnant was recorded.The horizontal mattress suture attains the highest maximum tensile force by far. The values of the simple and vertical mattress sutures are surpassed, with a respective increase of 140 and 83% if the capsule is intact and 172 and 109 (...) % if the capsule is not intact. If an intact renal capsule is present, the maximum tensile force in each suture technique increases 43-63%.The data suggest that of all tested suture techniques, the horizontal mattress suture provides the best adaptation strength before the suture tears through the renal parenchyma/capsule. Furthermore, it is recommended that the kidney capsule be included in the reconstructive suture because this significantly contributes to the safety of the procedure.

2011 Surgical endoscopy

36. Epitendinous Suture Techniques in Extensor Tendon Repairs-An Experimental Evaluation. (Abstract)

model.Silfverskiöld dorsal-only epitendinous extensor tendon repairs in porcine foot tendons (n = 8) were compared to reverse (buried) Silfverskiöld (n = 8), Halsted (n = 8), and interrupted horizontal mattress (IHM) repairs (n = 6) in vitro with a tensiometer around a 45° pulley. Thirty tendons total were tested to assess the force required for 2-mm gapping and ultimate tensile strength.The IHM repair had a significantly higher ultimate tensile strength (43 N; SD, 10 N) than the other repairs, which had (...) strengths between 27 N (SD, 4 N) and 31 N (SD, 7 N). The IHM was also significantly more resistant to gapping than the Silfverskiöld and Halsted repairs.Interlocking horizontal mattress, dorsal-only extensor tendon repairs were significantly stronger and more resistant to gapping than Silfverskiöld and Halsted repairs. Other repairs were still strong and resistant to gapping in comparison to previously published data for conventional repairs.The IHM is a relatively difficult technique to perform

2011 Journal of Hand Surgery - American

37. Double telescopic anastomosis with interrupted suture technique in acute aortic dissection. (Abstract)

Double telescopic anastomosis with interrupted suture technique in acute aortic dissection. We describe a new method for aortic anastomosis in the repair of acute aortic dissection. The anastomosis sites are prepared and sutured in an interrupted horizontal mattress manner with telescoping technique. By this kind of method, the interrupted sutures decrease damage to the fragile aortic wall and the antegrade blood flow promotes anastomotic sealing. This interrupted telescoping suturing technique

2011 Annals of Thoracic Surgery

38. Flexor Tendon Repair with a Knotless Barbed Suture: A Comparative Biomechanical Study. (Abstract)

core (Tajima and horizontal mattress) plus a running-locking epitendinous suture (n = 20) or a bidirectional barbed suture technique using a knotless, 4-strand core secured with 3 transverse passes (n = 21). A biomechanical study was performed on each tendon-suture construct and the tendons were linearly distracted to failure at 100 mm/min. The maximal tensile load to failure, 2-mm gapping tensile load, and mode of failure were determined and statistically compared.The average maximal load (...) Flexor Tendon Repair with a Knotless Barbed Suture: A Comparative Biomechanical Study. To test the hypothesis that a flexor tendon repair with only a knotless barbed suture technique provides a repair with a greater maximal load to failure and 2-mm gapping resistance than a traditional technique using a 4-strand core plus a running-locking epitendinous suture.We assigned 41 fresh-frozen cadaveric flexor digitorum profundus tendons for repair by either a traditional technique using a 4-strand

2011 Journal of Hand Surgery - American

39. Mechanical comparison of meniscal repair devices with mattress suture devices in vitro. (Abstract)

Mechanical comparison of meniscal repair devices with mattress suture devices in vitro. We report the load to failure in tensile testing of the MaxFire™ meniscal repair system (Biomet Inc, Warsaw, IN) and compare it to other current meniscal repair devices and mattress suture techniques. After creating a longitudinal tear in 42 one-year-old bovine menisci, 7 specimen groups defined by the meniscal repair device, suture, and/or mattress technique used for meniscal repair were randomly (...) established: (Group 1: Fiberwire™ vertical mattress (VM), Group 2: Fiberwire™ horizontal mattress (HM), Group 3: FasT-Fix™ VM, Group 4: FasT-Fix™ HM, Group 5: RapidLoc™, Group 6: MaxFire™ VM, Group 7: MaxFire™ HM). After completing the repairs, the meniscal specimens were cyclically pre-loaded before load to failure testing was performed. The mean load to failure for each group was: Fiberwire VM (185 ± 41 N), Fiberwire HM (183 ± 36 N), FasT-Fix VM (125 ± 8 N), FasT-Fix HM (107 ± 29 N), RapidLoc (70 ± 12 N

2010 Knee Surgery, Sports Traumatology, Arthroscopy

40. Pledgeted mattress sutures reduce recurrent reflux after laparoscopic Nissen fundoplication. (Abstract)

Pledgeted mattress sutures reduce recurrent reflux after laparoscopic Nissen fundoplication. In response to a perceived increase in the incidence of recurrent reflux after adopting the laparoscopic Nissen fundoplication, we adjusted our technique to include the use of pledgeted, horizontal mattress sutures for crural closure and wrap construction.We assessed the impact of this technical modification in children who underwent laparoscopic fundoplication between 1997 and 2007 at a large (...) children's hospital. The medical history, indications, technical details, and outcomes were reviewed. Differences between groups were assessed with chi(2), logistic regression, and Kaplan-Meier analysis.A total of 384 subjects were identified. Neurologic deficits were present in 77%. The crural closure and wrap were constructed with simple sutures in 226 and with pledgeted, horizontal mattress sutures in 158. The cumulative incidences of recurrent reflux, gagging/retching, wrap failure on imaging studies

2010 Journal of Pediatric Surgery

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