TechniqueComments
Simple interrupted suturesGeneral tissue approximation
Can be used for most wounds
Simple running suturesFast 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 suturesFast 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 suturesEffective in accurate skin edge apposition and wound eversion
Allows for minimal drainage
Suited for closing clean wounds
StaplesFast, creates loose closure
Allows for drainage
Suited for unclean wounds
Should be avoided if cosmetic outcome is important
Wounds adhesive stripsFast, no anesthesia required
Used to approximate clean, simple, small lacerations with little tension and without bleeding
Tissue adhesiveFast, no anesthesia required
Used to approximate clean, simple, small lacerations with little tension and without bleeding