WHAT IS LITHOTOMY Pose?
The Lithotomy position is similar to the supine position of the body in which the patient is supine, arms to the sides, but the legs are separated, raised, and supported in a boot- or tripod-style hold. The most common procedures performed at the Lithotomy site are:
- Perineal or pelvic surgery
LITHOTOMY Pose in Gynecological Surgery
The Lithotomy position can be used during childbirth because it gives the doctor good access to the mother and baby. It is used as the standard position for fertility procedures, but recently, most hospitals have switched to using a bed or birthing chair.
Studies have shown that the cesarean position can cause more pain for a woman during the second or third stages of labor than other alternative positions such as the squatting position.
HOW TO PLACE A PATIENT IN THE RIGHT LITHOTOMY Pose
The patient is placed in the supine position and the head is supported by a patient positioning pad. Raise your legs by your hips and bend your knees at a 70 to 90 degree angle. Feet are supported in padded footrests such as tripods.
View photos Location Lithotomy
RISKS RELATED TO THE LITHOMY Pose
Like other patient positions, the Lithotomy position may be associated with an increased patient risk of certain injuries, whether used during delivery or surgery.
Complications during childbirth
- Increased likelihood of needing an episiotomy, i.e. cutting of tissue between the vagina and anus, also known as the perineum
- Increased risk of caesarean section in the future
- Increased likelihood of sphincter injury due to increased pressure
Complications during surgery
- Acute compartment syndrome when pressure increases in a specific area of the body
- Nerve damage: includes two common injuries:
- Peroneal nerve damage increases with the time of surgery. Symptoms include ankle widening, ankle flipping, and scoliosis.
- Damage to the lateral femoral nerve leads to lateral femoral pain or hemiparesis.
- Other common injuries include hip dislocation, tendon and/or muscle strain, lower back strain, sciatic nerve injury, and pressure injury
FREQUENT VARIATIONS OF THE LITHOTOMY Pose
The Lithotomy position can have different variations depending on the type of surgery being performed.
- Standard Lithotomy (Dorsal)
- Low Lithotomy position
- High Lithotomy Pose
- Blood lithotripsy pose
- Exaggerated Lithotomy pose
- Leaning Lithotomy Pose
Variations of Lithotomy
ALTERNATIVE POSITIONS FOR LITHOTOMY IN REPRODUCTIVE TIPS
Given the risk factors associated with Lithotomy during childbirth, alternative positions have been accepted and proven to be less risky to women’s health. Some of these alternatives are:
- Hands and knees / lean forward
- Lie on the side
Modified Dosal Lithotomy surgical position
The modified Dosal Lithotomy is excellent for radical pelvic surgery. The use of improved Krauss arm supports as springs, together with pneumatic devices, intermittent foot compression, significantly reduces postoperative morbidity in patients undergoing surgical procedures. art in this position.
Lithotomy position versus supine position
The two poses share similarities in the position of the back and head; The patient lies on his back with his arms at his sides. In Lithotomy, the legs are separated and raised. In the supine position, the legs are always flat with no separation.
|The supine position||Lithotomy pose|
MEDILAND ACCESSORIES PROVIDE LITHOTOMY PASSION
Mediland’s operating table products provide a good response to the Lithotomy position. To better support Lithotomy, Mediland offers a set of accessories including:
- Arm support table PA06
- PA16 . drip pan
- Footrest PA08
- Extension for anal area PA31