Vertical Mattress Suture | BMJ Learning

Video from BMJ Learning | Basic practical skills: practical suturing techniques - complete the module here: bit.ly/Suturing...
Common clinical procedure videos also available at BMJ Best Practice: bit.ly/Clinical...
3D Animation of the vertical mattress suture technique
In the emergency department vertical mattress sutures are used for simple closure of wounds, including contaminated wounds following trauma. They are particularly useful when the wound requires more tension to bring together the skin edges, or for thin skin where this technique helps evert the skin edge effectively. In the operating theatre they may also be used for hand sewn bowel anastomoses.
00:02 Hold the needle holder correctly
00:15 Always use the instruments to pick up the needle
00:20 Use the forceps to position the needle
00:25 ⅔’s along from the point of the needle
00:30 Small wounds
00:40 Take a slightly larger bite than normal
00:44 Start vertical mattress suture
00:50 Rotate the needle smoothly
01:10 Prepare for the backhand part of the mattress suture
01:27 Backhand technique
01:41 Standard knot
01:45 Double forward throw
02:01 Single backwards throw
02:17 Squared knot
02:26 Equally spaced vertical mattress sutures
02:30 Dispose of all sharps safely

[@bigboss-tl2xr]

EXCELLENT representation, very clear, no details missed . Thank you.

[@chrisoltorik]

Consider throwing the first knot at the midpoint of the laceration to facilitate skin approximation and reduce risk of dog ear formation.

[@dougtaylor7724]

Loved the animation that showed the knot so clearly.

[@technoir2584]

I have seen a few different videos showing different ways to do sutures, but none describe which suture to use for different wound types or areas of the body and why. I'm only looking to learn the basics in case of a SHTF situation.

[@MedSyncVT]

This sounds like a good idea!

[@Dave_M.]

There are separate videos for that. You can search them up specifically

[@MariaErmelinda-vj3yq]

P​@@Dave_M.

[@MariaErmelinda-vj3yq]

​@Mnlomlp 0:50 edSyncVT

[@pawanpeei]

me too

[@moontime_sbs]

Thank you. I'm a recently graduated veterinarian and this is AWESOME.

[@MedSyncVT]

similar techniques useful for animals too?

[@zoraackerman1684]

​@@MedSyncVTI'm guessing. I want tonknow too though. Hope they answer soon, I gotta try this out on some lab rats.

[@MedSyncVT]

@zoraackerman1684 yeah to be honest they do. Got my Cat spayed and they used a layered closure : deep dermal followed by subcuticular.
Exactly the same as we teach in our videos on our page.

[@javiernewsam8829]

me (not a medical student) eating blueberry yogurt randomly watching this thinking: "I can do that"

[@salahtarek7079]

Perfect . Please continue for other suture

[@sujalmandal4941]

now i feel confident enough to sew back my leg

[@ImMEDICAL.]

Outstanding animation to understand sutures technique ❤️❤️

[@OmarAbdulMalikDHEdMPASPACPAPro]

This is a wonderful tutorial! Thank you for sharing this with us!🙂👨🏾‍⚕️👋🏽

[@3ANursingLectures68]

Simple easy and helpful

[@LaTae95]

Thank you for explaining this

[@maarshaal9565]

THANK YOU FOR YOUR WORK

[@ayub7951]

Why we use this method for? Why not simple nodes

[@nadippinnayagan2823]

It is useful for deep lacerations, where it can replace two layers of deep and superficial sutures

[@gsgsggsgshs6994]

Thanks

[@isabellaoliveira5711]

Perfect animation! Thank you

[@TariqAlmarri14]

❤ nice

[@maryvalentine9090]

I wonder who else might’ve looked this up after watching mash episode, “Where there’s a will there’s a way“ when a Hawkfeye had to go to the aid station and they know he’s alive because someone came in to the 4077 with vertical mattress sutures. Apparently that was his technique to use white cotton thread sutures and a vertical mattress suture.

[@Priya_Dutta]

This demonstration was very good 👍🏻 Thanks

[@ashokkumarnag7377]

Very nice video with beautiful explanation

[@raeessiddiqui3599]

Awesome👍 simple and easy demo

[@nithyakartheeban5172]

Perfect learning

[@ericlindal8008]

Beautiful animation. Why do you need vertical mattress sutures for a shallow incision? Why not simple sutures? Just wondering

[@AkramSaheb]

Helps hold the skin more approximated for skin grafting simple suture doesn't provide as much

[@mistisomoy]

​@@AkramSahebppp😊😊

[@ashiwanisharma9501]

😢X😢😢😢😢😢😢 X 😢

[@user-hb2ti7oi8r]

good practice👍

[@ishuakanksha9465]

All is good ...but u do not show where is the suture's needle while you making a knot

[@sonalzurule2541]

Bhai ise kahte Hai video ghol ke pii jana...Amazing finding hhahahah

[@sungwonmedi]

Thank you for useful contents

[@BipinKumar-sd1tq]

Nice jab

[@asmiitaaragsan5536]

Thnk u teacher please continue sutures

[@mutelarsorhougbe4606]

Hi- this is great!
Does anyone know what the difference between forward and backwards throws is?

[@TrueCourse]

Forward throw is away from you, the other way is the opposite. 👍🏼

[@healthguidebyabdulwahab8385]

Informative video

[@user-tr6ui5yh6p]

It's very helpful. 😊 tnk you send the video .

[@biswajitbiswad1561]

Very good

[@a.sowmiya1198]

Excellent explanation 🤩🤩🤩

[@doctorspgurjar]

Great video 😊👍 perfect learning 👌

[@hakimserrir9717]

u de n ull null pnb le i7

[@hakimserrir9717]

l .

[@hussainashiq634]

Unbelievable sir

[@salehal.masmar3994]

سبحان الله وبحمده سبحان الله العظيم اللهم صل وسلم وبارك اللهم ع سيدنا محمد عليه افضل الصلاة والسلام

[@sakirstyle6232]

Great vedio💓

[@drshwetasingh9286]

Thank u sooo much ❤😊

[@Mons429]

definitely not here because of walk over broken glass in pz and get a deep wound

[@demonetization5416]

easiest medical procedure in project zomboid:

[@amerawarda]

Perfect

[@bd1318]

Nice video

[@jonathanphan]

Thanks!

[@ghazalm1999]

Perfect😍💜

[@mixvlogs340]

All kind of instruments available here orthopaedic and surgical local and Germany

[@rakshak_bhardwaj97]

Pls send your address

[@mixvlogs340]

@@rakshak_bhardwaj97 Saudi Arabia and Pakistan

[@mdmizanurrahman5113]

excellent video.

[@suhlaing4948]

ပြပြပြိုင်နဲပပပြျပျပျိုင်

[@suhlaing4948]

ကွာကာကာအအတတဿဒုယုတ်ယုအအ

[@mdmizanurrahman5113]

@@suhlaing4948 Su Hlaing what’s your language and country please?

[@sekarp6405]

Thank you

[@fixa091]

But how can the suture be removed after the wound has healed?

[@bigboss-tl2xr]

Follow the suture back to find which side of the knot to cut and pull. Doesn't really matter, sometimes you NEED to make multiple snips and pulls to fully remove the suture. sall goode, you got this.

[@srustibsain9977]

which website did you use to create the animation? so cool

[@TariqAlmarri14]

❤❤ nice

[@shamimrizvi418]

Thanks so much

[@charelvasant2637]

Very nice

[@abeeramer467]

Good job

[@STUDY-OF-MEDICAL-CHANNEL]

Nice it’s good ❤

[@manpreetkaurbhullar2469]

Too difficult for a mother to deal with c section

[@mediexeducation]

Great

[@K-Kratos]

thanks for informing

[@sumitkumar-zd9qn]

Fine, thanks alot

[@victoresEstis]

Atay uy 😭... ani ko ba.

[@ajazkmu3647]

Great 👍👍👍

[@user-rr2ik2el7e]

اللهم صلي وسلم وبارك على سيدنا محمد

[@anisarista7155]

i would like to see more like this vidio

[@vinstondsouza]

Would you like to have one?

[@skycb7202]

But i am unknow . Plus c.c to whay postion in noise hed

[@migueeco5023]

Excelente

[@emanm.jameel]

Guys help me when I see suturing I feel like it’s done on my skin , how do I overcome the feeling?I guess I’m scared

[@parwejaalam6019]

Thanks waching

[@ShabanKhan-dy8fd]

Use stepler

[@omarmahmoud4075]

How many puncture sites are there when performing a single complete vertical mattress suture?

[@ramanjaneyuluy9011]

8

[@MedSyncVT]

Just 4.
The where you start and come out on the otherwise then reversing it back in line with where you came out 2nd and where you started.
They are 4 seperste tracts in close proximity

[@iibaceta5476]

Me encanta,muchas gracias

[@clinicalpoints2546]

Nice

[@drvikashriderdj1346]

Thank

[@atharalitalpur8071]

GOOD KNOWLEDGE 👍 FROM PAKISTAN 🇵🇰

[@themechanic4222]

Fuck Pakistan 🇵🇰

[@이니S]

@@themechanic4222 수술실

[@safeereamanmsaleemmedicalw7589]

Good job lovelie work

[@MdNezam-g2x]

Bangladesh ❤❤🇧🇩🇧🇩🇧🇩🇧🇩

[@mr_potato_man3724]

at 1:36 when I do it, the wound doesn't tighten. I retried it and it still didn't work.

[@bigboss-tl2xr]

Each pass thru requires a certain "tensioning" that may (most likely) need a bit more or less tension than the previous or the next pass thru...sall goode, you got this.

[@user-mb3bf7kn3e]

شنو نوع الخياطه هنا

[@RameshKumar-pj9kf]

Okay sir

[@williamsanan6728]

Thank you Dr osere on CZcams for being responsible for the cure of my cancer,l highly recommend you to each and every other person here, Thank you Dr

[@IchouHami-vr4cc]

Salut
Bravo merci

[@Drogo2025]

Génial ❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤

[@SEITANU]

It hurt!!

[@user-mn5lt9cz2m]

Isiliye holder so nice so Salman

[@abdulkadirbulut1340]

🇹🇷🇹🇷🇹🇷 thanks

[@qarimaolanamahmood8020]

Good very very good

[@k-tech777]

😊

[@TariqAlmarri14]

Nice ❤im Anesthesia

[@qggbd9006]

👌

[@ShifaKhan-gm7co]

👍👍🙏

[@gousiyakhan1937]

Normal delivery 🤲🕋

[@rehannadaf1166]

BB

[@shoebsyed2810]

👍

[@anisurrahamanjoy5798]

সেলাই করা সুই এর নাম কি ইংরেজিতে

[@SindhiVloging]

❤

[@rockyroy2167]

Sir

[@MedicalBroadcast]

Very well demonstrated.

[@fatemabegum3575]

কাঁটা হয় কেমনে

[@getinformedimchrc5371]

Your qualification answer me i am medical student

[@DrAnkitJangid]

Ok

[@okisombar5421]

W

[@brdj6977]

sorry no

[@user-st8uo5jh8y]

😢😢

[@sandhyacu5976]

.

[@Iftekhar_Ahmed7]

My country’s it’s work do the hand,,, use just pin 🇧🇩🇧🇩🇧🇩

[@saritadama-7048]

🍰😍😍😍