 The muscle layer was closed with a combination of 2-0 Vicryl followed by 2-0 Vicryl, followed by 4-0 Monocryl in a running subcuticular fashion. 
The muscle layer was closed with a combination of 2 - 0 Vicryl followed by 2 - 0 Vicryl , followed by 4 - 0 Monocryl in a running subcuticular fashion .