 A second margin was obtained from the 6 o'clock position all the way to the 3 o'clock position with sutures again placed in the 12, 6, and 3 o'clock regions. 
A second margin was obtained from the 6 o'clock position all the way to the 3 o'clock position with sutures again placed in the 12 , 6 , and 3 o'clock regions .