ABSTRACT
Closure of Sheath The carotid sheath is reopposed by pulling up the sternocleidomastoid muscle to some medial fascia and closing this layer with interrupted sutures of 3-0 Vicryl placed approximately 1 cm apart. This closure of the shealth is an important layer, both to secure the Hemovac and to prevent infection. In one case I encountered a superficial wound infection that fortunately respected this layer of the closed carotid sheath and did not penetrate to deeper structures.
