Certified Surgical Technologist (CST) Practice Exam

Which surgical position provides optimal visualization of the lower abdomen or pelvis?

1. Fowler's

2. Trendelenburg

3. Reverse Trendelenburg

4. Kraske

The correct answer is: Trendelenburg

The Trendelenburg position is used to provide optimal visualization of the lower abdomen or pelvis during surgical procedures. In this position, the patient's body is laid flat on the operating table, with the legs raised higher than the head. This elevation enhances blood flow to the pelvic area and can help in relocating abdominal organs, which is particularly beneficial for surgeries involving the lower abdomen and pelvis. Using the Trendelenburg position can enhance the surgeon's access to structures in the lower abdomen, such as the reproductive organs, bladder, and intestines, allowing for clearer visibility without obstructing the surgical field. Additionally, this positioning can minimize potential complications during surgery by improving venous return and potentially counteracting hypotension. Other positions mentioned in the choices are generally suited for different surgical needs. For instance, Fowler's position is often used for upper body procedures, providing a sitting angle beneficial for thoracic surgeries or procedures involving the head and neck. Reverse Trendelenburg serves to elevate the head while lowering the legs, which is advantageous in certain upper abdominal surgeries but does not provide the same direct access to the pelvic structures. The Kraske position, also known as the prone position with hips elevated, is used for procedures involving the posterior pelvic area or rectum, but it