Stitching method for everted wound closure

A single pass stitching method for everted wound closure, comprising the steps of:

• observing a wound opening;
• noting the wound opening has a first skin flap on a first side of the wound opening and a second skin flap on a second side of the wound opening;
• inserting a sutured needle into the epidermis of the first skin flap on the first side of the wound opening;
• passing the sutured needle through the dermis and toward the subcutaneous fat at the first side of the wound opening in a first acutely angled motion;
• passing the sutured needle from the dermis horizontally through the dermis/subcutaneous fat interface;
• and
• passing the sutured needle back from the dermis/subcutaneous fat interface through the dermis and out of the epidermis of the second skin flap in a second acutely angled motion on the second side of the wound opening, wherein the first and second acutely angled motions are equivalent, thereby ending the single pass stitching method for everted wound closure,
• whereby the suture forms a generally laboratory flask-like appearance within the wound after the sutured needle is pulled out of the second skin flap and the suture is knotted further including a step of observing the thickness of the dermis prior to inserting the sutured needle into the epidermis of the first skin flap on the first side of the wound opening;
• further including a step of determining thickness of the dermis as either 1-4 mm or greater than 4 mm;
• wherein the determination of the thickness of the dermis establishes the angulation of the first and second acutely angled suturing motion.