Comparison of purse string suture versus transverse mattress suture to secure haemostasis in thinned out caesarean section scars.

Twisted loop mattress suture

Modified mattress suture

DISCUSSION Many surgeons default to holding the scope in a curved position. Due to the length and the ever decreasing calibre of modern scopes, the transmission of torque is reduced, resulting in decreased rotation of the tip in response to movements of the hand. Consequently, the operator resorts to excessive movements in a ‘windscreen wiper’ motion. Using this technique improves the ability o...

Reconstruction of Areolar Projection Using a Purse-String Suture Technique

BACKGROUND Nipple-areolar complex creation is the last step in the breast reconstruction process and plays a significant role in patients' overall satisfaction. Although numerous surgical techniques have been described to create the nipple, very few procedures address the natural contour of the areola. METHODS We describe a surgical technique using a purse-string suture for improved areolar p...

Nipple reconstruction using a two-step purse-string suture technique.

Formation of an aesthetic nipple areola complex with lasting projection remains a challenging final step in breast reconstruction. Despite the many techniques that have been described, no single approach has emerged as the gold standard. The current study presents a novel technique in nipple areola complex reconstruction. In a two-step fashion, the nipple and areola are reconstructed independen...

The double loop mattress suture

An interrupted stitch type with favorable tissue characteristics will reduce local wound complications. We describe a novel high-strength, low-tension repair for the interrupted closure of skin, cartilage, and muscle, the double loop mattress stitch, and compare it experimentally with other interrupted closure methods. The performance of the double loop mattress technique in porcine cartilage a...