The lithotomy position is suitable for obstetric delivery patients.
The lithotomy position is the most commonly used position for anal surgery. Patients lie on their backs on the examination table, with their hips close to the bed and placed on the leg rest, which can expose the perineum to the maximum extent. It is a common position for rectal and anal canal surgery and gynecological examination. If the time is too long or the posture is improper, it can lead to complications such as local skin crush.
Meet the needs of examination, diagnosis, treatment and nursing, protect the skin integrity of patients, make patients comfortable and safe, shorten the operation time and reduce intraoperative bleeding.
Precautions:
1. Explain the precautions to patients to prevent falling off the bed.
2. Keep warm and cover properly.
3. Protect the patient's privacy and cover it with a screen.
4. The abduction of the hand on the arm rest should not be greater than 9 to avoid damaging the brachial plexus.
5. The popliteal fossa should not be close to the leg frame to prevent injury to the popliteal vascular nerve and gastrocnemius muscle.
6. Raise the foot slightly to avoid venous thrombosis.
7. Fix the limbs properly, and don't let them hang in the air.
The lithotomy position is a common position in clinic. The patient lies on his back on the examination table, his hips are close to the bed, and his legs are placed on the leg rest, which can expose the perineum, anus and other parts to a great extent. It is a common position for anorectal patients, urological patients and gynecological patients.
1. anorectal patients: such as hemorrhoid, anal fissure, perianal abscess or rectal malignant tumor, etc., during examination and surgical treatment, the patient can expose the anus to a greater extent by taking the lithotomy position, which is convenient for doctors to observe the skin around the anus, whether there is a tumor above and below the dentate line, and whether there is a space occupation in the intestinal cavity by fingers. When this position is used for anorectal surgery, it exposes a wide field of vision and belongs to a commonly used surgical position.
2. Urological patients: Lithotomy position is often used for cystoscopy, urinary tract obstruction examination and operation, prostatic hyperplasia and transurethral resection of prostate.
3. Gynecological patients: Patients can expose perineum to a greater extent by using lithotomy position, which is convenient for doctors to observe whether there are visible lesions in vulva, vagina and cervix, etc. Vaginal hysterectomy is also mostly performed by lithotomy position.