Bilateral adnexectomy, lavage cytology, laparoscopy

• positioned in lithotomy position
• It is recommended to adduct both arms (caution: cotton wrapping when positioning with a cloth sling), or to position one arm on the assistant's side
• The legs should be adjustable via the operating table control during the procedure
• if necessary, use shoulder supports to prevent the patient from slipping on the operating table
• if necessary, attach a cervical adapter

Incision below the umbilicus. Before inserting the Veress needle, the abdominal wall should be lifted to increase the distance from the intra-abdominal organs. Creation of a pneumoperitoneum by introducing a Veress needle.

TIP: When penetrating the fascia and peritoneum, there are often two distinct resistances. After penetrating the peritoneum, the movement feels free and smooth. Begin the insufflation of CO₂ slowly. An initial pressure below 10 mmHg and a steady pressure increase with constant gas flow indicate correct positioning.