Upper midline incision:
1) places purse-string suture around anticipated site of gastrostomy (2-0 PDS box-stitch)
2) opens stomach and places malecot (16-18 Fr)
3) brings malecot out through skin
4) prior to bringing stomach right to abdo wall places 4 anchoring stitches (2-0 PDS) in 4 quadrants to secure antrerior wall of stomach to anterior abdominal wall
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