What type of stitches are placed horizontal to the wound?

The horizontal mattress stitch is specifically designed to be placed horizontally across the wound. This technique is useful in providing precise wound edge approximation and allows for better distribution of tension along the wound, which is essential in minimizing scarring and promoting healing. When applied, the horizontal mattress stitch creates a strong and secure closure, maintaining tension evenly across the edges of the wound while also reducing the potential for tissue strangulation.

This technique is especially advantageous in areas where the skin is thick or in cases where additional support is needed to ensure the wound edges remain aligned throughout the healing process. In surgical practice, the proper placement and understanding of various suturing techniques, including the horizontal mattress stitch, contribute significantly to successful patient outcomes.