Corner stitch

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The corner stitch is a common suture technique. [1] It used to close wounds that are angled or Y-shaped without appreciably compromising blood supply to the wound tip. [2] [3]

The corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4] The needle enters the skin on one side of the obtuse angle of the wound, passes through the deep dermis of the corner flap, and is re-inserted through the dermis of the other side of the obtuse wound angle. It finally re-emerges through the epidermis on the side of the obtuse angle, adjacent to the initial entry point.[ citation needed ]

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Wound Injury where the skin is torn or blunt force trauma causes rupture or bruise

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Vertical mattress stitch

The vertical mattress stitch, often called vertical Donati stitch, is a suture type used to close skin wounds. The advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers, and also allows perfect eversion and vertical opposition of the superficial skin edges. Its disadvantage is a relatively high propensity to dig into skin and cause prominent stitch mark scars.

Horizontal mattress stitch

The horizontal mattress stitch is a suture technique used to close wounds. It everts skin well and spreads tension along the wound edge. This makes it ideal for holding together fragile skin as well as skin under high tension such as the distant edges of a large laceration or as the initial holding suture in complicated repairs.

Skin biopsy

Skin biopsy is a biopsy technique in which a skin lesion is removed to be sent to a pathologist to render a microscopic diagnosis. It is usually done under local anesthetic in a physician's office, and results are often available in 4 to 10 days. It is commonly performed by dermatologists. Skin biopsies are also done by family physicians, internists, surgeons, and other specialties. However, performed incorrectly, and without appropriate clinical information, a pathologist's interpretation of a skin biopsy can be severely limited, and therefore doctors and patients may forgo traditional biopsy techniques and instead choose Mohs surgery. There are four main types of skin biopsies: shave biopsy, punch biopsy, excisional biopsy, and incisional biopsy. The choice of the different skin biopsies is dependent on the suspected diagnosis of the skin lesion. Like most biopsies, patient consent and anesthesia are prerequisites.

Surgical suture Medical device used to hold body tissues together

Surgical suture is a medical device used to hold body tissues together after an injury or surgery. Application generally involves using a needle with an attached length of thread. A number of different shapes, sizes, and thread materials have been developed over its millennia of history. Surgeons, physicians, dentists, podiatrists, eye doctors, registered nurses and other trained nursing personnel, medics, clinical pharmacists and veterinarians typically engage in suturing. Surgical knots are used to secure the sutures.

Wound dehiscence

Wound dehiscence is a surgical complication in which a wound ruptures along a surgical incision. Risk factors include age, collagen disorder such as Ehlers–Danlos syndrome, diabetes, obesity, poor knotting or grabbing of stitches, and trauma to the wound after surgery.

Photorejuvenation is a skin treatment that uses lasers, intense pulsed light, or photodynamic therapy to treat skin conditions and remove effects of photoaging such as wrinkles, spots, and textures. The process induces controlled wounds to the skin. This prompts the skin to heal itself, by creating new cells. This process—to a certain extent—removes the signs of photoaging. The technique was invented by Thomas L Roberts, III using CO2 lasers in the 1990s. Observed complications have included scarring, hyperpigmentation, acne, and herpes.

Lip lift

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The Mustardé technique is an otoplastic surgery (otoplasty) for pinning protruding ears. The method belongs together with the Stenström and Converse methods to the traditional otoplasties. It is antihelix plastic surgery performed with the suturing technique.

The Converse technique, together with the Mustardé technique and Stenström technique, belongs to the standard methods of traditional otoplasty. Numerous variations for pinning ears have been derived from them.

Ladder stitch

A ladder stitch, or mattress stitch, is a stitch which can be used to invisibly close seams from the outside of the garment or item. It is primarily used to close seams on stuffed items, such as pillows, mattresses, down coats or stuffed toys, where after the stuffing is added, there is no access to the back of the fabric. It can also be used to repair split seams on theses items or garments, or to alter clothing.

References

  1. Zuber, TJ (1998), "Skin biopsy, excision, and repair techniques", Soft tissue surgery for the family physician, Kansas City, Missouri: American Academy of Family Physicians, pp. 100–6
  2. Stegman, SJ; Tromovitch, TA; Glogau, RG (1982). Basics of dermatologic surgery. Chicago: Year Book Medical. pp. 42–5.
  3. Zitelli, JA; Moy, RL (1989). "Buried vertical mattress suture". The Journal of Dermatologic Surgery and Oncology. 15 (1): 17–9. doi:10.1111/j.1524-4725.1989.tb03107.x. PMID   2642931.
  4. Zuber, Thomas (December 15, 2002). "The Mattress Sutures: Vertical, Horizontal, and Corner Stitch". American Family Physician. 66 (12): 2231–6. PMID   12507160.