Until approximately 3 weeks ago, I had no understanding of purpose of this suture. The classic, tried and true, interrupted suture worked well in almost every situation. Snaz it up as part of a sling suture and bam - coronally positioned flap.

However, a better understanding of the intentions of other types of suturing techniques has lead to me start utilizing them in the clinical scenarios for which they are indicated. Finally. I can look at those mattress suture drawings and actually start to know what they mean.

This is a basic overview of a vertical mattress suture - indications and the theoretical advantage of using it. The real question begs - does it make a difference?

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