4Running Stitch Indicated for low risk repairs. Tie knot at one end, do not cut until repair complete.Faster technique.Plastic surgery quality.
5Running Locked Stitch Modified running stitch. Used to prevent slippage of loops as running stitch continues.Allows for continuing stitch along irregular laceration.
6Vertical Mattress Stitch Promotes eversion of the skin.Tension or very thick skin.Enter wound on one side, pierce other side twice, and exit on side entered.
7Horizontal Mattress Stitch Needle is introduced in normal fashion.Second bite is placed ½ cm adjacent to exit site.Brought back next to original insertion.Tie knot.
8Intracuticular running suture Used to close linear wounds that are not under much tension.Yields an excellent cosmetic result.The ends of the suture do not need to be tied.Taping under slight tension will preserve approximation.
9Three-point or half-buried mattress suture Closure of the acute corner of a laceration without impairing blood flow to the tip.
10Three-point or half-buried mattress suture Needle is inserted into nonflap portion of the wound at the mid-dermis level; and then at the same level, the suture is passed transversely through the tip and returned on the opposite side of the wound paralleling the point of entrance.
11Three-point or half-buried mattress suture The suture is tied, drawing the tip snugly into place in good opposition. This same approach can be utilized in closing a stellate 4- or 5-point laceration, drawing the tips together in a purse-string fashion.
12Parallel LacerationsThe horizontal technique is used to cross all lacerationsWound tapes can be used if low tensionIf island in middle is wide enough, interrupted sutures can be used