Horizontal Mattress Sutures

Horizontal mattress suturing is a fairly useful back-pocket trick to have in your repair arsenal. I don’t personally use these sutures often for primary repair, as they don’t create as meticulous of a wound edge apposition as simple interrupted sutures or vertical mattress sutures.

I find these sutures most useful for temporary placement amidst a difficult repair with high tension.  Sometimes, it can be difficult to bring those wound edges together to facilitate simple interrupted suturing.  The placement of a horizontal mattress suture can overcome this barrier, as shown in this video.

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