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the device is placed on the left side of the
linea alba the antennae will run along the
abdominal wall, across the abdominal
incision, towards the right side of the
abdomen.)
alba the antennae will run along the
abdominal wall, across the abdominal
incision, towards the right side of the
abdomen.)
5a. Secure the device body to the inside of
the abdominal wall by suturing the suture
aids to the inner abdominal muscle using
non-absorbable suture, it may not be
possible to place a suture through the
deepest suture tab.
5b. Secure the device body to the inside of
the abdominal wall by suturing the suture
aids to the inner abdominal muscle using
non-absorbable suture. Be sure the device
body is secured away from the incision site
so that it will not interfere with healing once
the incision is closed.
6a. Close the subperitoneal pocket using
absorbable suture material in a simple
continuous pattern.
6b. N/A
7. Do NOT secure the antennae; the antennae will be secured just prior to closing the
abdomen (see below).
8. The negative (± positive) biopotential lead(s) will now need to be exteriorized from the
peritoneal cavity by passing a 14 gauge needle from outside of the abdomen to inside, next
to the incision. The lead can then be passed into the needle which is then withdrawn.
Figure 6. Cather and Biopotential Lead Exteriorization
[MES10]
9. As soon as access to the abdominal cavity is no longer needed (after catheter(s) and
biopotential leads have all been exteriorized/placed) the abdominal incision should be
closed.
10. Before closing the abdominal wall, the antenna of the device must be secured. A small
incision (~1cm) should be made in the peritoneum just
next
to the
right of the
midline
incision
(surgeon’s left)
, across from the body of the device.
