Page 23 - Manual of Equine Field Surgery
P. 23

Wound Closure                                      19

















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                                                                                                                                                                                                   ~
                   Figure l-9  A  and  B,  Com-
                                                                                                                      •
                   bined  vertical  mattress  tension

                                                                                                                                        .
                   suture  and  simple  interrupted                                                                             ~  - ,  t.
                                                                                                                                              '
                                                                                                                                !
                   appositional                   suture            patterns.


                   C, Combination  of vertical  mat-                                                                                                                                                     --


                   tress  sutures  with  bolsters  and                                      A         ~  ..                                                                                                                                              c
                                                                                                       •
                   simple  interrupted  appositional


                   sutures  to  close  incisions  under


                   tension.















                                                                                                                                           B






















                                                                                                                               '






                                                                                                                                                                                                                           ,,
                                                                                                                                                                                                                           '



























                   Figure l-10  A and B, Near-far-far-near


                   tension  suture pattern.  C and D, Far-near-


                   near-far  tension  suture  pattern.








                                                                                                               A                                                                             c
































                                                                                                               B                                                                             D


















                   blood  supply  to  the  wound  margins  than  inter-                                                                        Other Tension Patterns


                   rupted  horizontal  mattress  sutures.  The  vertical


                   mattress  suture  pattern  can  be  used  for concur-                                                                      The near-far-far-near,  far-near-near-far, and other


                   rent closure  of skin and subcutis to eliminate dead                                                                       variations  are tension  suture patterns  occasionally


                   space.                                                                                                                      used  in  equine  surgery  ( see  Pigure  3-10).  They
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