Simple interrupted sutures | General tissue approximation |
| Can be used for most wounds |
Simple running sutures | Fast and effective for long lacerations |
| All sutures are lost if one suture is cut by mistake or removed for drainage |
Horizontal mattress sutures (Figure 1) | Effective for everting wound edges |
| Can cause skin necrosis and excessive scars |
Vertical mattress sutures (Figure 2) | Most effective for everting wound edges |
| Can cause skin necrosis and excessive scars |
Half-buried mattress sutures (Figure 3) | Most effective in everting triangular wound edges in flap repair |
Running subcuticular sutures | Fast and effective in accurate skin edge apposition |
| Does not allow for drainage |
| Suited for closing clean wounds, such as surgical wounds in the operating room |
Interrupted dermal sutures | Effective in accurate skin edge apposition and wound eversion |
| Allows for minimal drainage |
| Suited for closing clean wounds |
Staples | Fast, creates loose closure |
| Allows for drainage |
| Suited for unclean wounds |
| Should be avoided if cosmetic outcome is important |
Wounds adhesive strips | Fast, no anesthesia required |
| Used to approximate clean, simple, small lacerations with little tension and without bleeding |
Tissue adhesive | Fast, no anesthesia required |
| Used to approximate clean, simple, small lacerations with little tension and without bleeding |