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What is steep Trendelenburg position?

What is steep Trendelenburg position?

In steep Trendelenburg position, the patient is angled at 30 – 40 degrees in the head-down position. This version of Trendelenburg is most often used for robotic pelvic procedures.

What position are you in during robotic prostatectomy?

For example, robotic-assisted laparoscopic radical prostatectomy requires the patient to be in lithotomy with steep Trendelenburg, but in robot-assisted gastrectomy varying degrees of reverse Trendelenburg must be maintained.

What position is patient in during robotic hysterectomy?

Pelvic surgery, whether laparoscopic or robotic, requires the patient to not only be placed in stirrups, but also often positioned in the Trendelenburg position for part, if not all, of the time of surgery.

How long does a robotic partial hysterectomy take?

Surgery time may range from 3 to 4 hours. This is what may happen during the surgery: Three or 4 small incisions are made near your belly button. Gas may be pumped into your belly to inflate it and give your surgeon a better view and more room to work.

What is Max Trendelenburg?

The steep Trendelenburg position, which is defined as 30–40 degrees in the head down position, is associated with risks including hemodynamic changes, altered pulmonary function, airway edema, increased intracranial and intraocular pressure, mechanical sliding, and nerve injury (Table 1).

Are you upside down during robotic hysterectomy?

Robotic hysterectomy incisions Your surgeon removes the organs through one of the incisions or, more often, through the vagina. You’ll lie on your back, in a position similar to the one you’re in for a Pap test.

How long will stomach be swollen after robotic hysterectomy?

Slight abdominal swelling is normal and may last as long as 6-8 weeks. If your belly is getting distended, hard and tender, there may be a problem. Nausea and vomiting are also indications that something is amiss and your doctor should be notified.

How are organs removed during robotic hysterectomy?

Robotic hysterectomy incisions Through these incisions, your surgeon detaches your uterus and possibly your ovaries and fallopian tubes from surrounding tissues. Your surgeon removes the organs through one of the incisions or, more often, through the vagina.