8.
Place the second toggle 2-3 inches (4-7cm) anterior to the
first toggle suture, forward toward the xiphoid (breastbone),
in exactly the same manner described for the first suture.
(Step 5, 6, and 7)
9.
Before removing the trocar needle from the second suture
site, place pressure on the external abdominal wall to force
as much free gas from the abomasum as possible. This will
reduce the tension on the sutures and help to reduce the
chance of tearing the abomasal wall or leaking abomasal
contents into the peritoneal cavity.
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