Cutting Edge Urology

T his PDF belongs to matthew.hooson@springer.co 4 • CUTTING EDGE - UROLOGY Patient Positioning Under general endotracheal anesthesia, the patient is placed in a modified lithotomy position (Fig. 2) over a nonskid foam pad. The patient is secured using the Yellofin® stirrups and an upperbody warming blanket is applied. Care is taken to adequately pad all pressure points to avoid position- ing injuries. The abdominal skin is shaved with clippers, and the patient is prepped and draped in standard sterile fashion for a transperitoneal pelvic robot-assisted surgery. An 18-French urethral catheter is inserted and an orogastric tube is placed. A standard time-out is called prior to incision. Instrumentation and Equipment List Equipment zz Si or Xi da Vinci® zz 0° robotic scope (Intuitive Surgical, Inc., Sunnyvale, CA) zz Monopolar Scissors (Intuitive Surgical, Inc., Sunnyvale, CA) × 1 zz ProGrasp™ Forceps (Intuitive Surgical, Inc., Sunnyvale, CA) × 2 zz Needle Drivers (Intuitive Surgical, Inc., Sunnyvale, CA) × 2 zz Clip Appliers (Intuitive Surgical, Inc., Sunnyvale, CA) × 2 zz Tenaculum Forceps (Intuitive Surgical, Inc., Sunnyvale, CA) × 1 Fig. 2: Patient positioning. For robotic simple prostatectomy, the patients are positioned in lithotomy and modified Trendelenburg. Cutting EDGE_Urology(SUN)_final.indd 4 27-Mar-18 10:00:26 AM