Friday, April 1, 2011

TABLE POSITIONS 4



More TABLE positions

HOW DO YOU GET THE LATERAL POSITION OF EXTENSION?
This position is used for operations on the kidney and chest, but may be modified slightly for operations on the hip.
For the former operations the patient is positioned over the kidney bridge which is raised to extend this region.
Alternatively, if an operation table which incorporates a `break back' is used, extension is achieved by positioning the patient over the division in the centre section before adjusting the angle of the table top.

HOW IS THE GALL-BLADDER AND LIVER POSITION ARRANGED?
This is another modified supine position which is used for operations on the gall-bladder or liver.
The patient is positioned over the back elevator which is raised to produce extension; and thereby push the gall-bladder towards the anterior abdominal wall.

HOW TO ARRANGE FOR LITHOTOMY POSITION? This is used for operations on the external genital organs, Perineum, and anal region. The buttocks project well over the edge of the table at the junction of the centre and foot section, which is lowered or removed. The legs are flexed at the hips and knees, and raised with the feet supported in webbing slings suspended from the lithotomy poles. A douching funnel may be fitted below the perineal area to collect blood.
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