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One disadvantage of the adjustable horizontal mattress technique.
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“A disadvantage of the adjustable horizontal mattress technique is that it can create a biologic tourniquet if the suture is tightened too much; however, this complication is easily corrected by loosening the suture.”
-Steven F. Swaim, DVM, MS
From Reconstructive surgery techniques, Part 2: Adjustable horizontal mattress suture