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. 2026 Oct 27;2026(10):rjag954. doi: 10.1093/jscr/rjag954

Figure 2.

Four operative panels show lifting of the continuous root suture line, placement and tying of an additional horizontal mattress suture, and fixation of the redundant continuous suture under renewed tension.

Re-tightening suture technique; (A) a selected point of the continuous suture line is lifted using a separate suture to expose the bleeding site; (B) an additional horizontal mattress suture using 4–0 polypropylene is placed at the same site; (C) the additional suture is gently tensioned and tied; (D) the redundant segment of the continuous suture is pulled and secured within the additional mattress suture, thereby re-tightening the original suture line.