Patient Preparation and Positioning on Robot-Assisted and Robotic Surgeries

Patient Positioning In Gynecological Surgeries

The treatment of gynecological diseases with robotic surgery is not widely known. This has the effect that the surgeon is often responsible for the position of the patient during the surgery since there is no universal pattern or method. The most commonly position used, regardless of the surgery, is the following one (Figure 1).

Figure 1.

Standard positioning in gynecological surgeries

Initially, the patient is placed in a supine position and then he is pulled down on the bed until the sacrum is in the middle of the operating table and the lower part of the buttocks in alignment with the lower break of the bed. The head, trunk and perineum are on the same axis of the surgery table, and then the person is placed in a lithotomy position with his feet attached on special Yellofin stirrups. Emphasis is also given on the upper limbs in order to minimize the pressure caused by an incautious placement. Finally, the patient’s position is re-examined and the operation begins.