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3. Grasp the abdominal wall with the hand and have the assistant do the same on the opposite side. 4. Pull the abdominal wall forward and with the other hand work the intestines up toward diaphragm. 5. Place the laparotomy sponges and pack them tightly toward diaphragm, placing one clamp on all the tapes attached to them and collected in one bundle. 6. Place the rubber dam around the abdominal speculum, and then insert the ring into the abdominal opening in such a way that the wall of thedoi:10.1001/jama.1909.25420430026003c fatcat:yqwen5laxnbh5nvxr2ufyryiie