Advances in the Clinical Application of Trendelenburg Position

Chin Med Sci J. 2023 Dec;38(4):297-304. doi: 10.24920/004231.

Abstract

The Trendelenburg position and reverse Trendelenburg position are frequently employed during lower abdominal surgery to achieve optimal surgical field visualization and complete exposure of the operative site, particularly under pneumoperitoneum conditions. However, these positions can have significant impacts on the patient's physiological functions. This article overviews the historical background of Trendelenburg position and reverse Trendelenbury position, their effects on various physiological functions, recent advancements in their clinical applications, and strategies for preventing and managing associated complications.

Keywords: Trendelenburg position; emerging application angle; physiological function; reverse Trendelenburg position.

MeSH terms

  • Abdomen
  • Head-Down Tilt* / physiology
  • Humans
  • Laparoscopy*
  • Patient Positioning