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Stefan et al. Mini-invasive Surg 2021;5:23 https://dx.doi.org/10.20517/2574-1225.2021.24 Page 3 of 4

Figure 1. Setup of the “L” protective metallic bar in situ, along with the anti-slip mattress.

Figure 2. The use of the anti-slip bean-bag mattress.

Every team member involved in the robotic procedure has the responsibility to ensure the patient’s safety.
Positional complications in surgery although rare, can have serious consequences. As well as causing harm
to the patient, there are also potentially increased costs for healthcare and medico-legal implications.
Awareness, team training and development of standard operating policies for robotic surgery can reduce the
[1,2]
incidence of these perioperative complications . The use of vacuum bean-bag positioner, L-bar against the
patient’s face, and inflated gloves for hand support are simple and effective techniques that are hereby
proposed to be included in the standard operating policies for robotic surgery, to prevent positional
complications.