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Could you comment on patient positioning...
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12/19/2014 at 3:17:47 AM GMT
Posts: 36
Could you comment on patient positioning...

Could you comment on patient positioning during lap sacral colpopexy, steep Trendelenberg, arms in vs arms out etc
by Lynsey Heyward


Last edited Thursday, December 18, 2014
12/23/2014 at 7:49:13 PM GMT
Posts: 0
Lynsley very good question
The position is essential
Litotomy and tredelenbourg position,
the bottom out side the operating bed
the arms close to the body
2 assistants one in front of you with the camera
One between the legs

BD


1/8/2015 at 1:41:46 PM GMT
Posts: 7
I agree with Bruno's replies. The most important aspect of patient positioning is being able to achieve very steep "head-down" positioning. This keeps the bowel out of the pelvis.We usually make use of broad adhesive strapping over the chest and around the shoulders to prevent the patient from sliding off the bed. It is important to check this by doing a trial of head -down before cleaning and draping the patient. This way the anaesthetist and surgeon will be able to agree on the the amount of tilt possible.


1/9/2015 at 6:57:56 PM GMT
Posts: 9
I agree w/ previous posts. We showed patient and surgeon/asst position on our slide. Arms tucked for patient, dorsal lithotomy position, adjustable allen stirrups with legs in neutral position protecting all nerves. We have experimented with different types of things to keep patient from sliding, ie egg crate taped to bed under patient, expensive things robotic companies have put out, shoulder sandbags etc and really haven't found one thing better than another. Steep trendelenberg is important though for exposure.


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