ABSTRACT
The patient is placed in a lithotomy position with the buttocks extended over the end of the table. The thighs should be flexed to allow good instrument manipulation. Attention should be given to proper positioning of the patient’s legs to avoid peroneal nerve injury during lengthy procedures. Shoulder braces must be used to make the steep Trendelenburg position possible during surgery. If shoulder braces are used they should be placed over the acromion to avoid possible brachial plexus injury. It is advisable that both arms should be tucked along the patient’s body to prevent brachial plexus injury and provide more space for the surgeon. If monopolar electrosurgery is to be used during the procedure, a ground electrode for the unipolar instruments must be properly placed over the patient’s thigh, and full surface contact of the electrode must be assured.
