Editing Skin flap techniques (section)

== General technique ==

* Consider beforehand which structures are at risk and plan appropriately so the flap can be raised quickly.
* Err on the side of a larger flap rather than smaller
* Match the thickness of the flap to the defect, and definitely don't make it too thin - hard to fix
* Ensure reasonable haemostasis prior to closure - haematoma will kill the flap
* Use interrupted suture unless you are very confident with the type of flap
* The first suture approximates the donor site, then start at point of greatest tension, usually the leading edge of the flap
* Watch for blanching as you suture - sutures may need to be removed
* Prioritise avoiding tension rather than closing the wound - can leave part of it open rather than risk the whole flap