What position are you in during robotic hysterectomy?

In an effort to decrease risks associated with steep Trendelenburg positioning, Ghomi and colleagues suggested that robotic assisted benign gynecologic surgery can be performed safely in Trendelenburg position with a mean angle of only 16 degrees.

What is the correct position for a robotic prostatectomy?

Low lithotomy position with the robot between the legs for docking is a standard position for robotic radical prostatectomy.

Where do you put a robotic port?

All ports are placed in the midline, with the 12-mm camera port by the umbilicus, and the robotic working ports spaced 3 to 4 cm superiorly and inferiorly (Fig. 8). When the ports are placed correctly, they should dangle off the abdominal wall, allowing maximal movement.

What is positioning the surgical patient?

Surgical positioning is the practice of placing a patient in a particular physical position during surgery. The goal in selecting and adjusting a particular surgical position is to maintain the patient’s safety while allowing access to the surgical site.

What’s the best way to position a patient for robotic surgery?

Current Methods Used For Extreme Trendel Enburg Position For Robotic Procedures. The most common Trendelenburg positioning techniques in use for robotic assisted surgery involve using friction, shear or lots of foam and tape to secure the patient on the table.

How are patients positioned in the operating room?

The overall plan for each patient transfer should be discussed prior to any movement. Frequently, the patient can assist in positioning prior to induction of anesthesia. However, under general anesthesia, the operating room team must carefully move and position each patient. Pertinent patient comorbidities should be reviewed.

What is the risk of sliding in robotic surgery?

It has become obvious that any sliding at all during robotic surgery creates added patient risk of injury and unnecessary postoperative pain. This risk occurs because the robots are not programmed to change the location of the robotic arm, instruments and trocars to compensate for patient sliding.

Why is patient immobility important during robotic surgery?

During the operation, any unanticipated patient movement could cause serious harm due to the many relatively immobile robotic arms entering the patient. For this reason, neuromuscular blockade is recommended throughout the procedure to maintain patient immobility.