EXPERIENCE WITH THE MATTRESS SUTURE TECHNIQUE IN THE CORRECTION OF PROMINENT EARS

IntroductionBased on the principles of the ideal skin closure technique, we previously described a suture technique (wedge-shaped excision and modified buried vertical mattress suture (WE-MBVMS)) that could provide excellent outcomes for the most demanding surfaces. However, adequate clinical comparative evidence supporting improved outcomes is lacking. Thus, the purpose of this protocol is to establish the feasibility of conducting a fully randomised controlled trial (RCT) comparing the clinical effectiveness of WE-MBVMS with a buried intradermal suture (BIS) in closing thoracic incision.Methods and analysisThis study is a feasibility RCT of WE-MBVMS and BIS in patients undergoing surgery for costal cartilage harvesting. Seventy-eight participants are expected to participate in the study and will be randomised in a ratio of 1:1 to WE-MBVMS or BIS. Trial feasibility will be assessed by the number of participants assessed for eligibility, recruitment rates, reasons for ineligibility or non-participation, time for interventions, withdrawal and retention at all follow-up points (3, 6 and 12 months), follow-up rates and reasons for withdrawing from the trial. In addition, clinical data regarding the cosmetic results of scars will be collected to inform the sample size for a fully powered RCT.Ethics and disseminationThis study has been approved by The First Affiliated Hospital of Xi’an Jiaotong University Institutional Review Board (XJTU1AF2017LSK-120). The findings will be published in peer-reviewed journals.Trial registration numberChiCTR-INR-17013335; Pre-results.

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Otoplasty Using Dermoperichondrial Flap as an Adjunct to Mustarde Suture Technique

FACE ◽

10.1177/2732501620949191 ◽

2020 ◽

Vol 1 (1) ◽

pp. 29-32

Author(s):

Christina M. Pasick ◽

Ilana G. Margulies ◽

Farah Sayegh ◽

Peter J. Taub

Keyword(s):

Structural Integrity ◽

Postoperative Recurrence ◽

Suture Technique ◽

Local Flap ◽

Prominent Ears ◽

Operative Correction ◽

Congenital Deformities ◽

Cosmetic Outcomes

Prominent ears are congenital deformities that are challenging to correct due to the risk of postoperative recurrence. While they have been traditionally reconstructed with cartilage excision or scoring and with cartilaginous sutures, flap techniques have been developed over the last 2 decades to improve the structural integrity of these repairs. The addition of a local flap helps to sustain long standing operative correction while maintaining optimal cosmetic outcomes that have been reported, particularly after cartilage sparing techniques. The authors describe a lateral dermoperichondrial flap on the posterior ear as an adjunct to the use of Mustarde sutures and contextualize its use in the landscape of existing otoplasty techniques.

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A combined approach to correct posterior left ventricular aneurysm, aortic stenosis and coronary artery disease

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa356 ◽

2020 ◽

Vol 2020 (10) ◽

Author(s):

Akshay J Patel ◽

Saifullah Mohamed ◽

Yassir Iqbal ◽

Ashok Kar ◽

Gopal Soppa

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Aortic Stenosis ◽

Systolic Function ◽

Artery Bypass ◽

Left Ventricular ◽

Suture Technique ◽

Left Ventricular Aneurysm ◽

Ventricular Aneurysm ◽

Mattress Suture

Abstract Ischaemic heart disease and aortic stenosis are potentially life-threatening conditions. A post-infarct left ventricular aneurysm, when combined with the above, is particularly hazardous. We present a case where all three conditions occurred simultaneously and describe the surgical approach undertaken to attempt correction. The patient underwent aneurysmectomy together with aortic valve replacement and two-vessel coronary artery bypass grafting. The aneurysm was excised with direct linear closure of the walls using a Teflon-buttressed interrupted mattress suture technique. Post-operatively, ventricular systolic function was good (LVEF 40%) together with a well-seated aortic valve showing no paravalvular leaks. This case highlights the importance of meticulous removal of thrombus from the aneurysm and everting the edges thereby eliminating a thrombogenic surface and the risk of embolic stroke. The restorative procedure itself serves to underline the importance of ventricular shape in the effective functioning of the myocardium for sustaining an adequate stroke volume with normalized physiology.

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Modified Mattress Suture Technique to Correct Anterior Septal Deviation

Plastic & Reconstructive Surgery ◽

10.1097/01.prs.0000138816.48312.ad ◽

2004 ◽

pp. 1436-1441 ◽

Cited By ~ 11

Author(s):

Luis T. Calder??n-Cu??llar ◽

Benjam??n Trujillo-Hern??ndez ◽

Clemente V??squez ◽

Javier Padilla-Acero ◽

H??ctor Cisneros-Preciado

Keyword(s):

Suture Technique ◽

Septal Deviation ◽

Mattress Suture

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A comparative study on the outcome of mattress sutures and subcuticular sutures in caesarean and hysterectomy in obese patients

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210711 ◽

2021 ◽

Vol 10 (3) ◽

pp. 935

Author(s):

Padmavathi Narahari ◽

Anilasre Atluri

Keyword(s):

Sampling Method ◽

Cost Effective ◽

Suture Technique ◽

Wound Complications ◽

Obese Patients ◽

Mattress Suture ◽

Operative Care ◽

Wound Discharge ◽

Selection Of Patients ◽

Selection Of

Background: Selection of method of suturing is very important for a surgeon as it should be cosmetic, less painful, cost-effective and with less post -operative complications. Wound complications are comparatively more in obese than in non-obese patients. This has led to an increase in hospital stay and health cost for the patient. Hence selection of proper suture technique which would result in most favourable outcomes with least complications is of utmost importance. This study aimed to compare the outcome of subcuticular and mattress suture in obese patients.Methods: This was a retrospective study on 50 obese patients who underwent primary caesarean or hysterectomy with no previous surgeries in the past. Purposive sampling method was used for selection of patients. The wound was assessed by induration, wound discharge, infection, gaping, need for resuturing. All the patients underwent standard post-operative care. Statistical analysis was done by descriptive and inferential statistics.Results: Among the patients with subcuticular sutures, 15(60%) had wound induration with severe pain, 10 (40%) developed wound discharge, 6 (24%) had wound gaping and 6 (24%) required resuturing. Among the group with mattress sutures, 7 (28%) had wound induration, 3 (12%) developed wound discharge, 1 (4%) had wound gaping and required resuturing.Conclusions: Not only was wound induration and pain higher among the patients with subcuticular skin sutures but these patients had a significant increase in wound gaping and resuturing also when compared to the patients who had undergone closure with mattress skin sutures.

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Running Vertical Mattress Suture Technique

Innovative Techniques in Skin Surgery ◽

10.3109/9780203909065-5 ◽

2002 ◽

pp. 37-40

Keyword(s):

Suture Technique ◽

Mattress Suture ◽

Vertical Mattress

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Improved Early Stage (T1/2) Oral Tongue Cancer Medial Pathology Margins Using Horizontal Mattress Suture Technique

Biomedical Journal of Scientific & Technical Research ◽

10.26717/bjstr.2017.01.000540 ◽

2017 ◽

Vol 1 (6) ◽

Author(s):

Nilesh Vasan

Keyword(s):

Tongue Cancer ◽

Early Stage ◽

Suture Technique ◽

Oral Tongue ◽

Mattress Suture ◽

Oral Tongue Cancer ◽

Stage T1 ◽

Horizontal Mattress Suture

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Differences in effectiveness of membrane fixation using periosteal vertical mattress and simple sling suture techniques in infrabony pocket treatment

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.37425 ◽

2019 ◽

Vol 5 (2) ◽

pp. 75

Author(s):

Beta Widya Oktiani ◽

Sri Pramestri Lastianny ◽

Ahmad Syaify

Keyword(s):

Tissue Regeneration ◽

Alveolar Bone ◽

Suture Technique ◽

Suture Techniques ◽

Mattress Suture ◽

Attachment Loss ◽

Probing Depth ◽

Freeze Dried ◽

Vertical Mattress ◽

Bone Height

Guide tissue regeneration (GTR) is the treatment of infrabony pockets for soft and hard tissue regeneration. Membrane is used as a barrier and prevents apical migration of the cells in epithelial tissues. Membrane fixation is one of the procedures in GTR treatment because resorbed membrane is less stable. Simple sling suture technique for membrane fixation has 1 anchorage, located in coronal flap, while periosteal vertical mattress suture technique has 2 anchorages in periosteum, making it more stable. This study aimed to study the differences in the effectiveness of membrane fixation using periosteal vertical mattress suture and simple sling suture techniques in terms of probing depth, relative attachment loss, and alveolar bone height in the treatment of infrabony pockets. The samples were divided into 2 groups. The first group was open flap debridement (OFD) with demineralized freeze dried bone allograft (DFDBA) application and membrane fixation with simple sling suture, while the second group was OFD with DFDBA application and membrane fixation with periosteal vertical mattress suture, observed on day 0, 30th day, and 90th day. The results of the study showed significant differences in the probing depth and relative attachment loss (except from the 30th day to the 90th day), and there were no significant differences in the alveolar bone height from the baseline to the 90th day, between the group of membrane fixation using simple sling suture and that of periosteal vertical mattress suture techniques on flap surgery. This study concluded that membrane fixation in the treatment of infrabony pocket with periosteal vertical mattress suture technique is more effective in reducing the probing depth and relative attachment loss, but there is no difference in increasing the alveolar bone height when compared to simple sling suture technique.

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