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The unequal surgical wound.

One of the not uncommon situations encountered during skin closure is a disparity between the lengths of the two sides of the wound. A technique that is a combination of the horizontal and vertical techniques of inserting subcuticular sutures is proposed. Along the longer wound edge, a horizontal bite is taken. This is followed by a vertical bite along the shorter wound edge. This is then followed by a horizontal bite and so on (Fig 1). By alternating between horizontal and vertical sutures, the wound is closed with good approximation between the previously unequally long wound edges.