Vertical Mattress Stitch
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Vertical Mattress Stitch
The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), 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. Uses The vertical mattress stitch is most commonly used in anatomic locations which tend to invert, such as the posterior aspect of the neck, and sites of greater skin laxity such as closure of lax skin after removing a dermoid cyst or reduced subcutaneous tissue (eg, the shin) that do not provide adequate subcutaneous tissue for dermal closure. It is useful for deep lacerations, where it can replace two layers of deep and superficial sutures. It can help bring the deep layers together alone, allowing several simple interru ...
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Vertical Mattress Suture
Vertical is a geometric term of location which may refer to: * Vertical direction, the direction aligned with the direction of the force of gravity, up or down * Vertical (angles), a pair of angles opposite each other, formed by two intersecting straight lines that form an "X" * Vertical (music), a musical interval where the two notes sound simultaneously * "Vertical", a type of wine tasting in which different vintages of the same wine type from the same winery are tasted * Vertical Aerospace, stylised as "Vertical", British aerospace manufacturer * Vertical Kilometer, a discipline of skyrunning * Vertical market, a market in which vendors offer goods and services specific to an industry Media * ''Vertical'' (1967 film), Soviet movie starring Vladimir Vysotsky * "Vertical" (''Sledge Hammer!''), 1987 television episode * ''Vertical'' (novel), 2010 novel by Rex Pickett * Vertical Entertainment, an American independent film distributor and production company * Vertical (publish ...
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Surgical Suture
A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread. There are numerous types of suture which differ by needle shape and size as well as thread material and characteristics. Selection of surgical suture should be determined by the characteristics and location of the wound or the specific body tissues being approximated. In selecting the needle, thread, and suturing technique to use for a specific patient, a medical care provider must consider the tensile strength of the specific suture thread needed to efficiently hold the tissues together depending on the mechanical and shear forces acting on the wound as well as the thickness of the tissue being approximated. One must also consider the elasticity of the thread and ability to adapt to different tissues, as well as the memory of the threa ...
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Wound
A wound is a rapid onset of injury that involves laceration, lacerated or puncture wound, punctured skin (an ''open'' wound), or a bruise, contusion (a ''closed'' wound) from blunt force physical trauma, trauma or compression. In pathology, a ''wound'' is an acute injury that damages the epidermis of the skin. To healing, heal a wound, the body undertakes a series of actions collectively known as the wound healing process. Classification According to level of contamination, a wound can be classified as: * Clean wound – made under sterile conditions where there are no organisms present, and the skin is likely to heal without complications. * Contaminated wound – usually resulting from accidental injury; there are pathogenic organisms and foreign bodies in the wound. * Infected wound – the wound has pathogenic organisms present and multiplying, exhibiting clinical signs of infection (yellow appearance, soreness, redness, oozing pus). * Colonized wound – a chronic situation, ...
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Dermoid Cyst
A dermoid cyst is a teratoma of a cystic nature that contains an array of developmentally mature, solid tissues. It frequently consists of skin, hair follicles, and sweat glands, while other commonly found components include clumps of long hair, pockets of sebum, blood, fat, bone, nail, teeth, eyes, cartilage, and thyroid tissue. As dermoid cysts grow slowly and contain mature tissue, this type of cystic teratoma is nearly always benign. In those rare cases wherein the dermoid cyst is malignant, a squamous cell carcinoma usually develops in adults, while infants and children usually present with an endodermal sinus tumor.Freedberg, et al. (2003). ''Fitzpatrick's Dermatology in General Medicine''. (6th ed.). McGraw-Hill. . Location Due to its classification, a dermoid cyst can occur wherever a teratoma can occur. Vaginal and ovarian dermoid cysts Ovaries normally grow cyst-like structures called follicles each month. Once an egg is released from its follicle during ovulation, ...
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Laceration
A wound is a rapid onset of injury that involves lacerated or punctured skin (an ''open'' wound), or a contusion (a ''closed'' wound) from blunt force trauma or compression. In pathology, a ''wound'' is an acute injury that damages the epidermis of the skin. To heal a wound, the body undertakes a series of actions collectively known as the wound healing process. Classification According to level of contamination, a wound can be classified as: * Clean wound – made under sterile conditions where there are no organisms present, and the skin is likely to heal without complications. * Contaminated wound – usually resulting from accidental injury; there are pathogenic organisms and foreign bodies in the wound. * Infected wound – the wound has pathogenic organisms present and multiplying, exhibiting clinical signs of infection (yellow appearance, soreness, redness, oozing pus). * Colonized wound – a chronic situation, containing pathogenic organisms, difficult to heal (e.g. b ...
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Simple Interrupted Stitch
The simple interrupted stitch is a suturing technique used to close wounds. It is the most commonly used technique in the closure of skin. It is known as an interrupted stitch because the individual stitches aren't connected; they are separate. Placing and tying each stitch individually is time-consuming, but this technique keeps the wound together even if one suture fails. It is simple, and relatively easy to place. A surgeon's knot The surgeon's knot is a surgical knot and is a simple modification to the reef knot. It adds an extra twist when tying the first throw, forming a double overhand knot. The additional turn provides more friction and can reduce loosening while th ... or knots cross the wound perpendicularly. The knots should not be left over the wound, but placed to one side in order to avoid scarring and to make the removal of the stitches easier. Image:Simple interrupted suture.svg, Procedure References {{reflist Surgical stitches ...
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Running Stitch
The straight or running stitch is the basic stitch in hand-sewing and embroidery, on which all other forms of sewing are based. The stitch is worked by passing the needle in and out of the fabric at a regular distance. All other stitches are created by varying the straight stitch in length, spacing, and direction. Some sources only use the term straight stitch to refer to the individual stitch or its family of related stitches, while others use it interchangeably with or in place of running stitch. Running stitch will never be used to refer to a single stitch since a single running stitch is a straight stitch. Running stitches are most often not visible as they are used to close seams. Running stitch, Holbein or double-running stitch, satin stitch and darning stitch are all classed as straight or flat stitches. Backstitch is also sometimes included in this category.Enthoven, Jacqueline: ''The Creative Stitches of Embroidery'', Van Norstrand Rheinhold, 1964, , p. 29-46 ...
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Dermis
The dermis or corium is a layer of skin between the epidermis (with which it makes up the cutis) and subcutaneous tissues, that primarily consists of dense irregular connective tissue and cushions the body from stress and strain. It is divided into two layers, the superficial area adjacent to the epidermis called the papillary region and a deep thicker area known as the reticular dermis.James, William; Berger, Timothy; Elston, Dirk (2005). ''Andrews' Diseases of the Skin: Clinical Dermatology'' (10th ed.). Saunders. Pages 1, 11–12. . The dermis is tightly connected to the epidermis through a basement membrane. Structural components of the dermis are collagen, elastic fibers, and extrafibrillar matrix.Marks, James G; Miller, Jeffery (2006). ''Lookingbill and Marks' Principles of Dermatology'' (4th ed.). Elsevier Inc. Page 8–9. . It also contains mechanoreceptors that provide the sense of touch and thermoreceptors that provide the sense of heat. In addition, hair follicles, ...
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