A series of 4-0 chromic sutures were used in interrupted fashion to reapproximate
the skin and close the circumferential defect (Figure 3).
The vas deferens is about the size of a strand of spaghetti--2-3 millimeters external diameter--and requires powerful magnification to reapproximate
the edges in two to three separate layers.
The skin is closed with three to five sutures--one that reattaches the center of the umbilicus to the fascial plate and one or two inverted sutures on either side that reapproximate
the lower and upper poles of the umbilicus.
A 5-0 Vicryl suture was used to reapproximate
the vocal process to the exposed arytenoid cartilage along its medial surface.
the broken edges of pubocervical fascia and rectovaginal septum anteriorly and posteriorly with two layers of permanent nonabsorbable sutures, restoring the integrity of the fibromuscular vaginal tube.
Once mobilization is complete, a meticulous tension-free, three-layered closure is performed, and care is taken to reapproximate
the vermilion (figure 3).
The key concept is, how can you best reapproximate