SMALL MIDLINE INCISION BELOW XIPHOID WAS MADE USING SCALPEL. CARRIED DOWN THROUGH TH SUBQ TISSUE DOWN TO FASCIA. ACCESS TO PERITONEAL CAVITY. STOMACH WAS DELIVERED TO SITE OF INCISION AND 2 PURSESTRINGS OF 2-0 SILK RIGHT AT BODY OF SOMACH WERE PLACE. A 20-FRENCH MIC GASTROSTOMY TUBE WAS BROUGHT INTO FIELD. SMALL GASTROTOMY WAS MADE AND TUBE WAS PASSED TO STOMACH. ABDOMEN WAS CLOSED

