l0O o Surgicol

Procedures lncludir Minimol Access Procedures

Gostrointestinot Surgery

r lel

Jackknife. The table is flexed, and the patient is pto"" *ittt arms extended on armboards angled toward iit" Lria of the table with the hand pronated' A pillow i. pU""a in front of the legs, and a roll is placed at the

Flexible
Fiberoptic light source with a combined air insuf_ _ flation and irrigatio" ""pu.iti""'-^""' Suction (connecti directlv-Jo til channel of the scope) Electrosurgical uni[ lnstrumentotion

;"i1;..

the table h;;;; tapes anchored to the underside of anchoring l""U tuo"" toward patient's head before (e'g', hemiir"* f"t maximal exposure) when surgery

Buttocks are distracted by 3-inch or 4-inch ad-

ot"ttola""to*y) is periormed. When general anesthesia is employed, chest rolls are required' Lit'hoiomv. The patient's legs are placed in stirrups' th" buttocks are elevated by a folded towel' But".rd *.V be distracted by 3-inch or 4-inch adhesive lo"l"

Rigid
Sigmoidoscopy tr.ay, suction_electrocoagulator and cord,

grasping forceps

.biopsy forceps, snare, clip

.Joii.jr"i;,

taoes anchored to the stirruPs. *-M;Jifi"d LateraVsims', The patient lies on the left with left arm extended on an armboard and the right side may r-* n"""a over it on a pillow (or double armboard area back is angled s9 th1! th:3tul canal U" "*ai-tn"over the table's edg-e' The left leg^is straight

Flexible
Flexible sigmoidoscope, electrosurgical biopsy for_ ceps, suction, endoscopy grasper,

irrigating tube, cytolog.y brush ' ' , ' ""u_"",'pJip

""t""ali"tt t leg is flexed, or bofh legs may be flexed with rnJl-ft" iigt
a pillow 6etween the knees; additional. paddrng rs re-

tupplies
Gloves

qnit"a.t f""t

itt.tt ot 4-inch adhesive tape

Skin Prepo,rotion

and ankles. Buttocks are distracted by a 3on the right buttock (upper-

Lubricant Suction tubing

I;ong cotton swabs

most) anchored to the underside of the table'

SpeciolNotes

k:tect
zorn.

None

skin under adhesive tape with tincture of ben-

Droping

Patient may be covered with a drape sheet' A drape

sheet covers the back table.

Adequate-padding is required for female breasts and male genitalia. Gloves are worn. Protective goggles should be worn.

Lubncate

scoDe.

Equipment Stirrups or pillow and rolls for positioning

Double armboard, oPtional

Rigid

Fiberoptic light source

Suction

Electrosurgical unit

Assist nrgeon by passine biopsy for""p", polyp grasper, and so on, as necessarv. ""a;J";i".o""", lbe surgeon mav direct th" q;{;;;;son to open and dose the endoscopy ..r"""

9l"ql .gong immediately following use. Rigid. Assist sureeon as necessary guiding suction, 6rceps, and so on, irito scope, and."riro'"i"g liopsies as necessary. Flexible. Be prepared to help stabilize scope. "rrd-bi*.; f;;;:".'