Running Madress Suture (Gentofte Suture)
By Magnus Balslev Avnstorp, Specialist Plastic Surgeon
This suture is a fast running suture. The suture enhances eversion of the skin edges, enabling a better healing. As the direction of the suture is changed every second stitch, the skin edges will not be distorted in the same way as a simple running suture.
Suture material choice
In the current case a nylon 3-0 suture was chosen to close a wound following the re-excision of a malignant melanoma on the abdomen.
Step by step guide
- A simple suture is performed with approx 5mm from the wound edge.
- A surgeons knot is applied. Only the short end is cut.
- Two stitches in the same direction is performed. Notice the same distance of 10 mm between the stitches.
- The needle is turned into backhand and two stitches are performed.
- The running madress sutures are continued until the end of the wound.
- When finalizing the knot, a loop from the second last suture is grasped and used to perform a surgeons knot.
- The suture material is then tied off gently.
- Micropore tape is aplied to avoid stretching of the edges.