What is the most common, fundamental suture technique?

• A. Horizontal mattress
• B. Vertical mattress
• C. Subcuticular continuous
• D. Simple interrupted

Answer: (D)

Simple interrupted suturing is the most common and foundational technique because it gives you precise, individual control over every stitch. Each bite and knot is placed separately, so you can adjust edge alignment, bite depth, and tension for different parts of the wound. If one stitch fails or needs removal, the rest still hold, making it reliable and forgiving. It’s versatile across many tissues and wound types, easy to teach, and allows straightforward removal of individual sutures without disturbing the entire closure. While mattress patterns distribute tension or help with tissue eversion in specific situations, they are more specialized; the simple interrupted remains the standard starting point because of its broad applicability and clear, controllable mechanics.