Review anatomy– you’ll be able to see well! Pimped- Youtube Channel videos for laparoscopic anatomy What case are you doing and why? Review common indications, steps to procedure and potential risks/complications Saying hi to the patient first Being helpful setting up — yellowfins or stirrups for lithotomy Scrubbing in — ask to grab your gown/gloves for the scrub, open carefully or get help if unsure Abx: If entering uterus or vagina ie hyst Prep: infection prevention with chloraprep or something EtOH based, needs to evaporate before draping or risk fire! Vaginal prep — betadine or chlorhexidine Then everyone scrubs Let resident/attending drape unless asked. You may be asked to help with foley/manipulator Uterine manipulators: Many sizes/shapes/types Vagina is dirty– can’t go from vagina to abdomen Abdomen: Entry: Typically in umbilicus or just above. Can use Palmer’s Point if needed. Direct visualization with Hassan Visiport Veres needle Insufflate with CO2 Port placement: Typically middle ⅓ of distance between ASIS and umbilicus. Avoid obvious superficial vessels and inferior epigastric –watch from below Common procedures: Dx LSC– endometriosis, adhesions Tubal ligation or bilateral salpingectomy Cystectomy BSO Hysterectomy Closing ports: Close fascia on ports >5mm due to increased risk of hernia Post-op checks: Many LSC cases are same-day, meaning patients go home -Nausea/vomiting, eating/drinking, voiding, passing flatus, ambulating -UOP, BPs,