Fig 30 - uploaded by Robert Frank Cubas
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2 Patient in supine position with outstretched arms to 80° and split legs in steep reverse Trendelenburg
Source publication
Paraesophageal hernias are an uncommon form of hiatal hernia (10%). Symptomatic hernias should be repaired unless there are clinical parameters precluding safe and effective surgical intervention. Robotic repair is an efficient and ergonomic approach to this challenging anatomical problem.
Contexts in source publication
Context 1
... initially placed in the supine position over a bean bag. Pneumatic compression stockings are routinely placed on the lower extremities. All pressure points should be comfortably padded. After satisfactory induction of general endotracheal anesthesia, the legs are placed in split leg attachments, and the arms out to the side on padded arm boards ( Fig. 30.2). Preoperative antibiotics are given, and the abdomen is prepped from the nipples down to the pubic symphysis and as far lateral as possibly, especially on the left side. ...
Context 2
... initially placed in the supine position over a bean bag. Pneumatic compression stockings are routinely placed on the lower extremities. All pressure points should be comfortably padded. After satisfactory induction of general endotracheal anesthesia, the legs are placed in split leg attachments, and the arms out to the side on padded arm boards ( Fig. 30.2). Preoperative antibiotics are given, and the abdomen is prepped from the nipples down to the pubic symphysis and as far lateral as possibly, especially on the left side. ...
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Citations
We present a rare case of postoperative diaphragmatic hernia in a patient with colon infringement 3 years after surgery for cardioesophageal cancer accompanied by extensive diaphragmotomy. The diagnosis of diaphragmatic hernia with colon infringement was based on a combination of anamnestic, clinical and radiological data, as well as results of diagnostic pleural puncture. This clinical case is of interest due to small incidence of disease and difficult interpretation of clinical and diagnostic data.
