Operating Room Setup

The operating room should be large enough to accommodate all necessary personnel and the technologic equipment required by both the laparoscopist and the anesthesiologist. Positioning of equipment, surgeon, assistants, nurses, anesthesiologist, and other support staff should be clearly defined and established for each standard laparoscopic case. Generally, ceiling mounted beams are preferred for placing the necessary optical, insufflation, and electrocautery instruments over floor standing towers. All equipments must be fully functional and in operating condition before any laparoscopic procedure is started. A separate tray with open laparotomy instruments must be ready for immediate use in the event of complications or problems necessitating open incisional surgery.

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