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This Concept Map, created with IHMC CmapTools, has information related to: Enterotomy Procedure, STEP 1: A midline abdominal incision is made STEP 2: The segment of the bowel to be entered is isolated with moisture laparotomy sponges to decrease contamination, STEP 4: On healthy bowel tissue aboral or proximal to the foreign body, a full thickness stab incision is made into the lumen on the antimesenteric border which is enlarged with a Metzenbaum scissors STEP 5: The foreign body is removed with the use of a blunt forceps, ENTEROTOMY STEP 1: A midline abdominal incision is made, STEP 7: An enterotomy leak test may be performed using a 25-gauge needle and inserting saline into near the site. Fingers or Doyen forceps may be used to isolate the area and the sutures are checked for leaks STEP 8: Omental or jejunal onlay patch may be used to reinforce the suture line by wrapping it around the enterotomy site, STEP 6: The enterotomy incision is closed transversely with 3-0 or 4-0 synthetic absorbable suture material or monofilament non-absorbable suture material in an appositional suture pattern such as simple interrupted STEP 7: An enterotomy leak test may be performed using a 25-gauge needle and inserting saline into near the site. Fingers or Doyen forceps may be used to isolate the area and the sutures are checked for leaks, STEP 9: The enterotomy site is thoroughly rinsed with warm saline STEP 10: The abdomen is closed using simple interrupted or interrupted mattress suture patterns, STEP 5: The foreign body is removed with the use of a blunt forceps STEP 6: The enterotomy incision is closed transversely with 3-0 or 4-0 synthetic absorbable suture material or monofilament non-absorbable suture material in an appositional suture pattern such as simple interrupted, STEP 2: The segment of the bowel to be entered is isolated with moisture laparotomy sponges to decrease contamination STEP 3: A 3-0 stay is placed at both ends of the proposed enterotomy incision and the bowel contents are ‘milked’ away from the enterotomy site to minimize spillage OR A non-crushing intestinal forceps (Doyen forceps) or an assistant’s fingers in a scissor-like grip is placed across the bowel at approximately 4-6cm on each side of the enterotomy site can also be done to minimize spillage, STEP 3: A 3-0 stay is placed at both ends of the proposed enterotomy incision and the bowel contents are ‘milked’ away from the enterotomy site to minimize spillage OR A non-crushing intestinal forceps (Doyen forceps) or an assistant’s fingers in a scissor-like grip is placed across the bowel at approximately 4-6cm on each side of the enterotomy site can also be done to minimize spillage STEP 4: On healthy bowel tissue aboral or proximal to the foreign body, a full thickness stab incision is made into the lumen on the antimesenteric border which is enlarged with a Metzenbaum scissors, STEP 8: Omental or jejunal onlay patch may be used to reinforce the suture line by wrapping it around the enterotomy site STEP 9: The enterotomy site is thoroughly rinsed with warm saline