ABSTRACT
Sahni et al. (19) described a very similar procedure with some modifications of the skin incision (Fig. 3B). They shorten the horizontal portions of the H-shaped skin incisions to approximately 1.5 cm and then extend these incisions at a 135 angle for another 1.5 cm on each side of both the inferior and superior incisions (19). The tracheal incisions are carried out in the same manner as mentioned earlier. The results are a slightly larger final stoma with four diagonally oriented skin incisions closed with nonabsorbable sutures, which are later removed.
