Patient Positioning and Operating Room Setup

Under general endotracheal anesthesia, the patient is placed in the supine position (Figure 8.2.1). If a need for an intraoperative colonoscopy is anticipated, the patient should be placed in a modified Lloyd Davies position with the lower extremities in Dan Allen or Levitator

Modified Lloyd Davies Position
Figure 8.2.1. Position of the equipment and the surgical team for laparoscopic-assisted ileocolectomy.

stirrups (Skytron Co. Ltd., Grand Rapids, MI). A bladder catheter and a nasogastric tube are inserted, and pneumatic compression stockings are used for deep venous thrombosis prophylaxis. If utereric stents are to be placed, they are inserted with cystoscopy by a urologist after induction of anesthesia. Antisepsis and draping of the abdomen are undertaken as for laparotomy, with the exposed operative field extending between xiphoid and pubis and left and right iliac spines.

Table 8.2.1. Specific instruments recommended for laparoscopic-assisted ileocolectomy

3-5

Cannulae (1 X 10 mm, 2-4 X 5 mm)

1

Dissecting device (i.e., LigaSure VTM or Ultrasonic Shears™ or

electrosurgery)

1

Laparoscopic scissor

1

Laparoscopic dissector

2

Laparoscopic graspers

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Responses

  • aira
    What is a lloyd davis position which is used when positioning patients in the operating theatre?
    8 years ago

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