- Pelvic binder or ex fix on
- 5cm lower midline incision to fascia → Divided to Parietal Peritoneum
- Protect bladder, develop Retzius space and bluntly develop extraperitoneal plane circumferentially starting from pubic symphysis and following the pelvic brim
- Pack from deep to superficial with large packs after passing the SIJ (palpable bony prominence
- Temporary closure
- NB: EPP should be done prior to DCS laparotomy