What is modified lithotomy position?

The modified lithotomy position frequently is used in general surgery because it gives excellent simultaneous access to the abdomen and perineum. There are a variety of complications that may occur including lumbosacral plexus stretch, sciatic and peroneal nerve injury, and compartment syndrome of the legs.

Which position is used for gynecological procedure?

The most common patient positions used in gynecologic surgery are the supine position, various modifications of the lithotomy position 10 with or without Trendelenburg positioning, and the upright seated position (“sit-up” or “beach chair” position) for breast surgery 11.

What nerves can be damaged in lithotomy position?

As previously stated, the lithotomy position is associated with several lower extremity nerve injuries, including the common peroneal, lateral femoral cutaneous, femoral, and sciatic nerves.

When do you use the lithotomy position?

The lithotomy position is a common position for surgical procedures and medical examinations involving the pelvis and lower abdomen, as well as a common position for childbirth in Western nations.

When is the Trendelenburg position used?

Trendelenburg position is typically used for lower abdominal surgeries including colorectal, gynecological, and genitourinary procedures as well as central venous catheter placement.

What is little Tommy position?

What is the lithotomy position? The lithotomy position is often used during childbirth and surgery in the pelvic area. It involves lying on your back with your legs flexed 90 degrees at your hips. Your knees will be bent at 70 to 90 degrees, and padded foot rests attached to the table will support your legs.

Which is a possible complication of being in the lithotomy position?

The two main complications of using the lithotomy position in surgery are acute compartment syndrome (ACS) and nerve injury. ACS happens when pressure increases within a specific area of your body. This increase in pressure disrupts blood flow, which can hurt the function of your surrounding tissues.

What physiological effect is most likely to result from lithotomy position?

The lithotomy position may also cause significant physiologic changes. When the legs are elevated, venous return increases, causing a transient increase in cardiac output and, to a lesser extent, cerebral venous and intracranial pressure in otherwise healthy patients.

How does Fowler’s position help breathing?

With numerous applications, Fowler’s position is used for patients who have difficulty breathing because, in this position, gravity pulls the diaphragm downward allowing greater chest and lung expansion.