Fig. 31.1 Trocar placement for a conventional laparoscopic-assisted procedure When a HALS procedure is planned, only two 5-mm trocars are placed in the right and left lower quadrants. After feasibility…
Fig. 19.1 Modified anchor trocar placement for pelvic surgery Fig. 19.2 Extraction site with wound protector in place An angled video or flexible-tip laparoscope is required for adequate exposure of…
Fig. 15.1 Ischemic ostomy. Courtesy of Philip Y. Pearson, MD, with permission Parastomal hernia remains an especially significant problem following stoma creation (Fig. 15.2). In fact, the creation of a…
Fig. 18.1 This image shows the hand after placement through the HALS port in a natural anatomic configuration. This position will rarely be used Fig. 18.2 The wrist has been…
Fig. 24.1 Total robotic procedures performed worldwide (2005–2011). With permission from Intuitive Medical Fig. 24.2 Robotic cases by specific procedure. With permission from Intuitive Medical This slow adoption is despite…
Fig. 6.1 The port placement for a medial-to-lateral laparoscopic sig-moidectomy/left colectomy. Optional port5-mm The laparoscopic sigmoid colectomy is facilitated by a dedicated cameraperson (2nd assistant), as this allows the assistant…
Fig. 29.1 Pigazzi patient positioning system™. Notice the steep positioning that is required Defining an Operative Plan and Precise Preoperative Localization of Pathology A fundamental aspect of the preoperative phase…
Fig. 17.1 Stoma in a patient with morbid obesity. Notice the large bulge around the stoma indicating the possible presence of a parastomal hernia Fig. 17.2 Strangulated parastomal hernia with…
Fig. 12.1 Supine OR positioning depicting patient secured to bed, shoulder rolls in place, in the lithotomy position, buttock off end of the bed, with thighs as parallel as possible…
Fig. 16.1 Hartmann’s procedure. With permission from Cleveland Clinic Foundation Preoperative Planning Proper patient selection is crucial to preoperative planning, and patients should be both medically fit and able to…
