This is part 3 of the Gout Elbow surgery. Closing the pocket on the elbow. Long running stitch with great tissue eversion. His follow up with suture removal will be uploaded tomorrow. He healed great and is so happy to have new elbows. As you can see in the video, this was a long, meticulous surgery. Longer than his first surgery. I had patients backing up in the lobby, but I don’t rush, you have to get the job done right. We finished the day on time and everything worked out. Thanks to my patient for sharing his unique surgery and story! Thanks for popping by. Dermatology procedure. Dermatology Physician Assistant. Dermatology Excision and closure. Running Suture. Gouty Tophi. MrPopZit.