![Opening an Abdomen - Step 04 1 Upper Abdominal Midline Incision](https://brooksidepress.org/operations/wp-content/uploads/2015/12/Upper-Abdominal-Midline-Incision-265x300.jpg)
a. Procedure by Surgeon
With knife handle #3 and blade #10, the skin incision is carried down through the subcutaneous or fatty layer to the fascia.
b. Items Supplied by Scrub
- Deep knife (#3 knife handle and #10 blade)
- Sponges
- Tissue forceps
![Opening an Abdomen - Step 04 2 #3 Knife Handle](https://brooksidepress.org/operations/wp-content/uploads/2015/12/3-Knife-Handle-300x42.jpg)
![Opening an Abdomen - Step 04 3 #10 Blade](https://brooksidepress.org/operations/wp-content/uploads/2015/12/10-Blade-300x75.jpg)
![Opening an Abdomen - Step 04 4 Tissue Forceps](https://brooksidepress.org/operations/wp-content/uploads/2015/12/Tissue-Forceps-300x109.jpg)
NOTE : A #10 blade looks like a #20 blade but is smaller in size and can only be loaded on a #3 knife handle. A #20 blade can only be loaded on a #4 knife handle.