ABSTRACT
Proper patient positioning is essential for performing safe laparoscopic procedures. This chapter discusses different positions, possible issues that may be faced with them, and ramifications and outcomes. It first focuses on the creation of a pneumoperitoneum and the insertion of a Veress needle and primary trocar, which are the most critical steps when performing laparoscopy. Four groups that present problems during these steps are obese patients, very thin patients, patients with scars from previous abdominal surgeries, and patients with failed insufflation. The chapter proceeds to look at transumbilical insufflation and then ponders alternative sites and techniques, including subcostal insufflation, open technique, direct trocar insertion, transuterine insufflation, and insertion of the Veress needle using the towel clip technique. Finally, the chapter looks at the termination of the laparoscopic procedure.
Proper patient positioning is essential for performing safe laparoscopic procedures.
