ITEMS SUPPLIED BY SCRUB
ILLUSTRATION
PROCEDURE BY SURGEON
ILLUSTRATION
10.
10. The peritoneum is exposed;
10. Deep knife (#3 handle with
10. See illustration #4 in
"opening procedures."
grasped with tissue forceps,
#10 blade)
and nicked with #3 knife
handle with #10 blade. The
Laparotomy tapes
peritoneum is the thin,
membranous lining of the
Tissue forceps
abdominal cavity beneath the
posterior fascia and
peritoneum and incises them
together, using the point of
the scalpel blade, make a
small incision through both
layers of tissue.
11.
11. By continually elevating the
11. Metzenbaum scissors
11. Not applicable
posterior fascia and
peritoneum to avoid cutting
Moist laparotomy tapes
Metzenbaum scissors
internal organs, the surgeon
extends the incision using
Metzenbaum scissors.
With the peritoneum incision
completed, the surgeon sees
the abdominal cavity for the
12.
first time
12. The peritoneum is retracted
12. Large Richardson retractor
12. Not applicable.
for exploration with large
or Balfour retractor.
Richardson retractors or a
Balfour retractor.
Balfour retractor
MD0935
A-7