a. Procedure by Surgeon

The internal oblique transverse muscle, (B) the small opening at the outer border of the rectus sheath, and the external oblique fascia (C) are closed in layers using interrupted sutures.

Sometimes retraction is necessary to hold tissue while suturing.

b. Items Supplied by Scrub

• Suture (doctor’s preference)
• Curved needle
• Needle holder
• Straight Mayo scissors
• Small Richardson retractors
• Laparotomy tapes