- Line drawn 2cm off midline
- The ellipse is based on a axis 2cm lateral to the midline with the caudal point modified to sit 3cm lateral to the midline. This means the scar does to angle to the anal verge.
On the medial aspect the incision is vertical On the lateral aspect the incision is 45 degrees A flap is raised which is 1cm thick and 2 cm deep
Closed in layers
- First layer is to close the deep space
- Second layer is to oppose the skin
- Third layer monocryl to skin