Trendelenburg position - most surgeons like very steep trendelenburg for this case, so make sure patient is secured to the bed. May be a good practice to do a “test” tilt as far as possible before draping. PONV - These patients are at a much higher risk for PONV, so it's common to give a full run of antiemetics for prevention/prophylaxis.
This surgery is a combination of a vaginal and a laparoscopic hysterectomy. This surgery is completed by removing the uterus through the vagina after the laparoscopic surgical excision of the uterus. This technique causes less bleeding and blood loss than the standard/open approach.
