- Patients are placed in a dorsal lithotomy position with Allen stirrups and pneumonic compression devices.
- The arms are tucked at the sides and a foam mattress is situated directly under the patient to prevent sliding during steep Trendelenburg.
- 5-mm or 10-mm port at the umbilicus for the laparoscope; or Palmer’s point in case pelvic adhesions are suspected to be present.
- 2 bilateral 5-mm or 10-mm ports placed in bilateral lower quadrants, approximately 2 cm medial and cephalad to the anterior superior iliac spine (ASIS), taking care to stay lateral to the inferior epigastric vessels.
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An optional 5-mm port can be placed on either the right or left side, at approximately the level of the umbilicus, along the midclavicular line to avoid the superior epigastric vessels.
