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The first closing count during laparotomy is typically initiated after the surgeon has closed the peritoneum and before the abdominal wall is closed. This count involves verifying all instruments, sponges, and other materials used during the procedure to ensure nothing is left inside the abdomen. It is crucial to maintain accurate counts to prevent retained foreign objects, which can lead to complications. Additionally, any discrepancies should be addressed immediately before proceeding with the final closure.

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1d ago

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