![Closing an Abdomen - Step 01 1 Closing the Peritoneum](https://brooksidepress.org/operations/wp-content/uploads/2015/12/Closing-the-Peritoneum-300x197.jpg)
a. Procedure by Surgeon
Two tissue forceps are used to approximate (bring together) the peritoneal edges. The peritoneal cavity and the posterior fascia are closed.
b. Items Supplied by Scrub
- Suture (surgeon’s preference)
- Needle holder
- Straight Mayo scissors
- Laparotomy tapes
![Closing an Abdomen - Step 01 2 Hegar-Mayo needle holder](https://brooksidepress.org/operations/wp-content/uploads/2015/12/Hegar-Mayo-needle-holder-300x162.jpg)
![Closing an Abdomen - Step 01 3 Straight Mayo scissors](https://brooksidepress.org/operations/wp-content/uploads/2015/12/Straight-Mayo-scissors-300x105.jpg)
![Closing an Abdomen - Step 01 4 Laparotomy Tape](https://brooksidepress.org/operations/wp-content/uploads/2015/12/Laparotomy-Tape-300x110.jpg)
NOTE : The first closure sponge count is begun as soon as the surgeon begins to close the peritoneum.
NOTE : “Sharps” (needles and knife blades) and instruments may also be counted IAW local SOP.