Principles in Approaching Difficult Operative Situations

  • Deborah S. Keller
  • Scott R. Steele


Exposure is critical to having safe surgery and overall patient assessment—especially in the operating room. When providing a consult in the operating room, ensure you have the optimal exposure and/or approach that meets your needs. Here we evaluate an overview of a few common scenarios and tricks when confronted with an intraoperative consult.


Judgment Assessment Exposure 

Suggested Reading

  1. 1.
    Bailey HR, Isaacson TC. The intraoperative consult. In: Steele SR, Maykel JA, Champagne BJ, Orangio GR, editors. Complexities in colorectal surgery. New York: Springer Publ; 2014. p. 463–76.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Deborah S. Keller
    • 1
  • Scott R. Steele
    • 2
    • 3
  1. 1.Department of SurgeryNew York-Presbyterian, Columbia University Medical CenterNew YorkUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA
  3. 3.Department of Colorectal SurgeryCleveland ClinicClevelandUSA

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