7. After removing the plastic handle and push rod from the trocar needle, place the first toggle suture into the open lumen of the needle.

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Use the push rod to move the toggle COMPLETELY through the length of the needle so that it will turn perpendicular to the long axis of the needle once in the abomasal lumen.

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Tug lightly on the suture to ensure the toggle is clear of the trocar/cannula needle.

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Remove the cannula and pull snugly on the suture, so that it lies firmly against the abdominal wall . Clamp the suture with the needle holder.

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