# Ladder stitch

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Invisible seam closing stitch

This article is about the invisible seam closing stitch. For the decorative ladder stitch, see [Hemstitch](/source/Hemstitch).

Ladder stitch

A **ladder stitch**, or **mattress stitch**, is a [stitch](/source/Stitch_(textile_arts)) which can be used to invisibly close seams from the outside of the garment or item. It is primarily used to close seams on [stuffed](/source/Polyester_Fiberfill) items, such as [pillows](/source/Pillow), [mattresses](/source/Mattress), down coats or [stuffed toys](/source/Stuffed_toy), where, after the stuffing is added, there is no access to the back of the [fabric](/source/Fabric). It can also be used to repair split seams on these items or garments, or to alter clothing.[1]

## Surgical suturing

Running subcuticular suture

Ladder stitching can also be used in surgery [sutures](/source/Surgical_suture) to close an incision in the skin. In this context it is called a **running subcuticular suture** or **running subcuticular closure**.[2][3][4]

## References

1. **[^](#cite_ref-1)** ["How to Ladder Stitch"](https://www.wikihow.com/Ladder-Stitch). *wikiHow*. Retrieved 2019-12-22.[*[user-generated source?](https://en.wikipedia.org/wiki/Wikipedia:UGC)*]

1. **[^](#cite_ref-2)** [*Surgeon Explains How to Apply Stitches*](https://www.youtube.com/watch?v=d-yWx772qFU&feature=youtu.be&t=541) (Video). [Wired](/source/Wired_(magazine)). November 27, 2019. Event occurs at 9:01. Retrieved 2020-02-01 – via YouTube.

1. **[^](#cite_ref-3)** Kantor, Jonathan (2017), ["The Running Subcuticular Suture"](https://accessemergencymedicine.mhmedical.com/content.aspx?bookid=2076&sectionid=156454625#1172925201), *Atlas of Suturing Techniques: Approaches to Surgical Wound, Laceration, and Cosmetic Repair*, McGraw-Hill Education, retrieved 2023-03-05

1. **[^](#cite_ref-4)** Mackay-Wiggan, Julian; Ratner, Desiree (July 10, 2018). ["What are indications for the running subcuticular suture technique?"](https://web.archive.org/web/20191222105111/https://www.medscape.com/answers/1824895-32083/what-are-indications-for-the-running-subcuticular-suture-technique). *Medscape Pediatrics*. Archived from [the original](https://www.medscape.com/answers/1824895-32083/what-are-indications-for-the-running-subcuticular-suture-technique) on December 22, 2019. Retrieved 2019-12-22.

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Adapted from the Wikipedia article [Ladder stitch](https://en.wikipedia.org/wiki/Ladder_stitch) by Wikipedia contributors ([contributor history](https://en.wikipedia.org/wiki/Ladder_stitch?action=history)). Available under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/). Changes may have been made.