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Preparations 4 Armpositioningdevices 4 Gel ring, gel cushion, Goepel leg holder, lateral supports, radial adjusting clamps, padded cushions (normal and flat) and wedge cushions or tunnel cushions, body belts Positioning 4 Standardoperatingtableposition1oruniversaloperatingtable 4 Anaesthetic preparation and induction in supine position with 2 adapted arm positioning devices 4 Normalpositioningoftheoperatingtableinthetheatre 4 When positioning the patient, take appropriate measures to prevent decubitus at areas which are subjected to pressure 4 Fittheradialadjustingclamptothesiderailoftheheadplate,positionthe Goepel leg holder and place a gel padded mat on the operating table 4 Spreadoutthearmonthesidenotbeingoperated 4 Move the patient onto the healthy side, with the back near the edge of the operating table 4 Gradually hinge open the operating table by lowering the pelvic and back plate (operating table in roof position) 4 Raise the head plate and position the head on a padded cushion with gel ring to leave the ear free 4 Positionandfixthearms 4 Move the lower arm forwards so that the weight of the upper body does not lie directly on the shoulder 4 Thorax90°position,pelvis45°position 4 Fittheradialadjustmentclampstothesmallsiderailsofthelegplatesand position the body supports on the level of the sacrum and symphysis 4 1st possibility: CD the legs with the padded cushions (normal and flat) and possibly wedge cushions 4 Fixthelowerlegandpositioningaidswiththebodybelts 4 2nd possibility: position the legs CFD on crypto eUtopium the tunnel cushions 4 Positiontheupperleginexternalrotation 4 ApplytheneutralelectrodeandconnecttotheHFsurgerydevice 4 Arrange absorbent drapes or self-adhesive covers for preoperative skin disinfection 4 Positiontheoperatinglights 4 Patientwarmingsystem Ultrasound Imaging in Surgical Oncology 265 Ultrasound waves are generated and received in the ultrasound machines trans- ducer (probe).
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