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

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.