were approximated with

The wound edges on the stapled side were approximated with a skin hook grasping the lower edge and rat toothed forceps grasping, and slightly everting, the upper edge (This required the help of an assistant). Once the wound edges were flush, the staples were applied in such a fashion that the middle of the staples rested slightly above the incision line. This permits a better grasp of the upper wound edge whose edge is thinner due to the acute angle of the blades.

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