Procedure
- Establish the first point of entry in the wound margin that lies opposite the loose flap [Figure 32-a].
Figure 32
- Penetrate the lateral side of the “v” [Figure 32-b] and, keeping the needle intracutaneous, exit on the other lateral side of the point of the “v” [Figure 32-c].
- Make a second entry point in the wound margin on the other side and exit next to the first entry point [Figure 32-d].
- The end result is a v-flap [Figure 33].
Figure 33
A similar method is used for r-shaped wounds, except that in this case there are two flaps that must be sutured in the same manner [Figure 34].
Figure 34