Open Gastric Perforation Repair
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Abdominal cavity approach

Abdominal wall

Incise

Incise the abdominal wall by using an upper midline incision that can be extended in a caudal direction, to open the abdomen. Alternatives are the upper right paramedian, transverse epigastric or subcostal incision. The abdominal incisions are described in the course “Abdominal Wall Incisions”.

Peritoneal incision

The escape of gas when the peritoneum is opened, confirms the diagnosis of a perforation in the gastrointestinal tract.

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