All defects are closed at the conclusion of the dissection. The defect is closed by transverse continuous suture, using monofilament thread. Before suturing, the area is rinsed thoroughly with beta-iodine. The suture starts at the right corner (Fig. 7). At the end of the suture a silver clip is placed onto the thread. The clip is a fast, safe and secure substitute for knotting. In semicircular defects and segmental resections, stay sutures first are placed so that the suture line is geometrically predefined and tension during suturing is reduced.
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