Chapter 10: Table of Contents
First, make a stab incision using a scalpel blade and then extend the incision with Metzembaum scissors. When stabbing the stomach, you will notice significant resistance to penetrating the submucosa and mucosa. Do not cauterize or ligate bleeders, as hemorrhage will stop when you suture the stomach closed. If suction is available, suction the stomach contents and prevent spillage. Using an instrument, explore the gastric cavity and retrieve foreign bodies. Adding a third and fourth stay suture on either side of the incision may facilitate visualization. As much as possible, do not contaminate your gloves or place your gloved fingers into the stomach. Enlarge the size of the incision if necessary to remove the foreign body.