Operating position in colorectal surgery. The importance of the basics

• Published in: Cirugia Española Vol. 86; no. 4; p. 204
• Main Authors: Roig-Vila, José V, García-Armengol, Juan, Bruna-Esteban, Marcos, Redondo-Cano, Carlos, Tornero-Ibáñez, Fernando, García-Aguado, Roberto
• Format: Journal Article
• Language: Spanish
• Published: Spain 01-10-2009
• Subjects: Abdomen; Colorectal Surgery; Humans; Patient Positioning - adverse effects; Patient Positioning - methods; Perineum; Postoperative Complications - etiology
• ISSN: 0009-739X
• DOI: 10.1016/j.ciresp.2009.02.015

Intra-operative positioning in colorectal surgery is very important from three points of view: the proper surgical approach and exposure, adequate anaesthetic requirements with maintenance of the airway, and the potential complications related to the position. In the present study, we analyse the indications, positioning, advantages and disadvantages of each operative position, their potential complications and how to avoid them. These complications can be of a diverse nature, the most common being injuries related to stretching or compression of peripheral nerves, followed by thromboembolic, haemodynamic, and ischaemic or compartmental syndromes related to ischaemia-reperfusion after a long time in the Trendelenburg position. Anaesthetists and surgeons should coordinate and take responsibility for the position of surgical patients.