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so were going to do the vast ernesto MOS is now so youre going to have your preserved a warders which will be clipped here just want to cut it right smack in the middle so you want to look at the two lumens so heres your lumen on the left and the lumen on the right so were going to be using how prolene sutures today so you either use the 404 three-oh prolene sutures you can either of mildewed so as I mentioned in the chalk talk youre going to start at the very end you can go out to in on one side Im going to pick up the needle reload it Im going to pick up the other side and right at the corner and go into out in about three millimeters right at the very edge reload your needle then were going to tie the suture now pro liens will slip so you want to do four or five nuts and then well use a hemostat - now our second step is to set ourselves up so that we will be sewing from right to left so were going to end up on the inside so as I mentioned the chalk talk youre going to go