title: [Operating position in colorectal surgery. The importance of the basics].
abstract: Intra-operative positioning in colorectal surgery is very important from three points of view: the proper surgical approach and exposure, adequate anaesthetic requirements with maintenance of the airway, and the potential complications related to the position. In the present study, we analyse the indications, positioning, advantages and disadvantages of each operative position, their potential complications and how to avoid them. These complications can be of a diverse nature, the most common being injuries related to stretching or compression of peripheral nerves, followed by thromboembolic, haemodynamic, and ischaemic or compartmental syndromes related to ischaemia-reperfusion after a long time in the Trendelenburg position. Anaesthetists and surgeons should coordinate and take responsibility for the position of surgical patients.
authors.affiliation: Consorcio Hospital General Universitario de Valencia, España. roig_jvi@gva.es
authors.forename: José V
authors.initials: JV
authors.lastname: Roig-Vila
authors.forename: Juan
authors.initials: J
authors.lastname: García-Armengol
authors.forename: Marcos
authors.initials: M
authors.lastname: Bruna-Esteban
authors.forename: Carlos
authors.initials: C
authors.lastname: Redondo-Cano
authors.forename: Fernando
authors.initials: F
authors.lastname: Tornero-Ibáñez
authors.forename: Roberto
authors.initials: R
authors.lastname: García-Aguado
mesh_terms: D000005:Abdomen; D003107:Colorectal Surgery; D006801:Humans; D056888:Patient Positioning / Q000009:adverse effects / Q000379:methods*; D010502:Perineum; D011183:Postoperative Complications / Q000209:etiology