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. The position is named for its connection with lithotomy, a procedure to remove bladder stones.
- 1 What is dorsal lithotomy?
- 2 How do you place a patient in a lithotomy position?
- 3 Which description is correct for placing a patient in the dorsal lithotomy position for a pelvic examination?
- 4 What is a lithotomy procedure?
- 5 What is the dorsal recumbent position used for?
- 6 What are the benefits of lithotomy position?
- 7 Can lithotomy position cause hip pain?
- 8 What physiological effect is most likely to result from lithotomy position?
- 9 Which position is used for perineal surgical procedures?
- 10 When is the lithotomy position used?
- 11 What is the best position for a patient after surgery?
What is dorsal lithotomy?
When in the dorsal lithotomy position, a woman is putting direct pressure on her sacrum (tailbone), forcing it into a flexed position and making the pelvic outlet smaller.
How do you place a patient in a lithotomy position?
The lithotomy position is a variation of the supine position in which the hips are flexed, the legs abducted, and knees flexed. The legs are secured in leg supports such as the candy cane, knee crutch, or boot support.
Which description is correct for placing a patient in the dorsal lithotomy position for a pelvic examination?
The lithotomy position has the patient lying on the dorsum with the knees, as well as the hips flexed at 90 degrees. The hips are also abducted to about 30 degrees, while the calves are supported on appropriately padded leg supports. This provides excellent surgical access to the perineum.
What is a lithotomy procedure?
Lithotomy from Greek for “lithos” (stone) and “tomos” (cut), is a surgical method for removal of calculi, stones formed inside certain organs, such as the urinary tract (kidney stones), bladder (bladder stones), and gallbladder (gallstones), that cannot exit naturally through the urinary system or biliary tract.
What is the dorsal recumbent position used for?
dorsal recumbent position
A position in which the patient lies on the back with the lower extremities moderately flexed and rotated outward. It is employed in the application of obstetrical forceps, repair of lesions following parturition, vaginal examination, and bimanual palpation.
What are the benefits of lithotomy position?
Most notably the position provides good visual and physical access to the perineal region. The position is used for procedures ranging from simple pelvic exams to surgeries and procedures including those involving reproductive organs, urology, and gastrointestinal systems.
Can lithotomy position cause hip pain?
Positioning-related nerve injuries in the lithotomy position have been attributed to overflexion of the hips and knees, which causes stretching and compression of the nerves.
What physiological effect is most likely to result from lithotomy position?
Hemodynamic changes include the increased venous return and transient increases in preload and cardiac output. Respiratory changes result from cephalad displacement of abdominal contents resulting in decreased lung compliance, functional residual capacity, and tidal volume.
Which position is used for perineal surgical procedures?
This position is typically used for gynecology, colorectal, urology, perineal, or pelvis procedures. The risks posed to a patient in a Lithotomy position for a procedure include fractures, nerve injuries, hip dislocation, muscle injuries, pressure injuries, and diminished lung capacity.
When is the lithotomy position used?
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.
What is the best position for a patient after surgery?
Post-operative patient should be positioned, unless contraindicated due to medical or other reasons, in a semi-recumbent position.