quilting sutures
Interrupted sutures placed to eliminate dead space and reduce fluid accumulation in large surgical dissection planes.
Full Definition
Quilting sutures are deep, interrupted sutures used to approximate tissue planes and eliminate potential spaces where fluid might collect, particularly in procedures involving extensive undermining such as abdominoplasty or mastectomy. These sutures are placed in a grid-like pattern to secure deeper tissues to underlying structures, reducing seroma formation and improving contour. The technique is named for its resemblance to quilted fabric patterns. Proper placement requires understanding of underlying anatomy to avoid injury to vital structures.
Usage
Usage note: Term specific to plastic and reconstructive surgery; not commonly used in other surgical specialties.
In Context
- "Quilting sutures were placed in the lower abdomen to minimize dead space after extensive liposuction." — operative report
- "The use of quilting sutures significantly reduced seroma rates in our abdominoplasty series." — research paper