What type of suture is used to gather in and turn under excess tissues, running parallel to the incision?

The worm suture, often referred to as a "horizontal mattress suture," is specifically designed to manage excess tissue by gathering and turning it under, effectively bringing the edges of an incision closer together. This type of suture is particularly useful for areas where there might be a need to reduce bulk or when dealing with skin that is loose or redundant, allowing for a more aesthetically pleasing closure by distributing tension evenly along the wound.

Worm sutures create a series of loops along the incision site, which not only helps in managing the excess tissue effectively but also facilitates healing by aligning the tissue layers properly. This makes it an ideal choice for specific surgical situations where the management of skin tension and aesthetics is a priority.

Other suture types, while useful in their own contexts, do not serve the same function as the worm suture. Continuous sutures provide a rapid way of closing incisions but do not gathering excess tissue. Locking sutures provide resistance to tissue pull but are used primarily to maintain tension rather than to manipulate excess tissue. Double intradermal sutures are used to conceal the suture line but are not meant for gathering excess tissue beneath the skin. Therefore, the worm suture stands out as the most appropriate choice for the