What is a vertical mattress?
The
vertical mattress stitch is one of the surgical stitches performed for large and deep wounds. This is particularly effective in cases where the skin around the edges cannot be easily still, or rotated in and the wound cannot close properly. It prevents wounds from healing inverted and sunk and when obtaining any infection from the exposure. It is also common to use this type of stitch to close the cuts, from where large tissues or tumors are surgically removed, for example in biopsy or cancer operations.
The term "vertical mattress stitch" is probably with reference to the wound and not to the stitch itself, because it is often done in vertical or upright wounds. However, the stitch technique is in fact a number of small horizontal stitches performed through the wound. This approach not only closes the wounds well, but also helps to reduce tension and prevent the wound from stretching.
The process of performing the vertical stitching of the mattress can be described as "far away with zero" or "deeply deepThe flap ". The first step is to insert the needle and thread into the skin from one side of the wound, usually around 0.15 to 0.30 inches (4 to 8 mm) from the wound. The next step is to pass the needle and fiber under the skin until it appears on the other side and have the same distance from the wound as the initial" bites ". These two far and deep bites ensure that deeper tissues under the skin join and properly recover.
On the other hand, it is close and shallow bite for the epidermis, which prevents the healing of the layer inward. For these bites, the needle and the thread are inserted from the surface of the skin on the same side as the previous deep bites. This time the distance from the wound should be about 0.3 to 0.07 inches (1 to 2 mm) from the wound. Needle and fiber on the other side, achirurus performs a knot to secure the stitch. It is important that the knot is not too free or too tight; The wound may not be closed correctly if the knot is too free and the wound can form an increased scar if the knot is too tight.
As reported by the American Academy of Family Doctors (AAFP), vertThe stitch mattress is one of the most effective stitch techniques that support excellent skin eversion, both for superficial and deeper layers of leather and tissue. It is often done on the back of the neck, palm or any area that is concave. One of the disadvantages of the vertical stitch mattress, however, is the high probability of producing the "railway" along both sides of the wound when the deep bites dig into the deeper tissue layers. For this reason, this sewn stitch is usually not performed on the face.