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HELP: Hip Extension Lithotomy Position: A simple and productive technical modification at abdominal laparoscopy

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Hellenic Journal of Surgery

Abstract

Dorsal lithotomy is a commonly used position in many gastrointestinal and gynaecological laparoscopic surgeries, either in the classical or modified way. However, the available data seems to have fallen short of detailing the precise mode of its usage. In order to gain maximum advantage with minimum annoying sequel, we describe certain simple revisions of a modified lithotomy position. Over the last decade of our surgical practice, we have found these adaptations to be both technically and physiologically beneficial in many ways. Accordingly, it has been utilized in over 2000 cases without facing any complications. Hence, we strongly recommend it for frequent use. Such a technique has not been described in the literature to date.

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References

  1. Jategaonkar PA, Yadav SP. Extrapolating Veress Needle for Directional Precision of Secondary Laparoscopic Ports—A Handy Technique. Hell Cheirourgike 2014; 86:59–60

    Google Scholar 

  2. Graling PR, Colvin DB. The lithotomy position in colon surgery. Postoperative complications. AORN J 1992; 55:1029–39

    Article  CAS  PubMed  Google Scholar 

  3. Palanivelu C, Rangarajan M, Jategaonkar PA, et al. An innovative technique for colorectal specimen retrieval: a new era of "natural orifice specimen extraction" (N.O.S.E). Dis Colon Rectum 2008; 51:1120–4

    Article  PubMed  Google Scholar 

  4. Liu P, Bao H, Zhang X, et al. Better operative outcomes achieved with the prone jackknife vs. lithotomy position during abdominoperineal resection in patients with low rectal cancer. World J Surg Oncol 2015; 13:39

    Article  PubMed  PubMed Central  Google Scholar 

  5. Donckers J, de Kruif JH, van der Stappen WA. Compartment syndrome following laparoscopic procedures in the lithotomy position. Ned Tijdschr Geneeskd 2010; 154:A1284

    PubMed  Google Scholar 

  6. Frezza EE. The lithotomy versus the supine position for laparoscopic advanced surgeries: a historical review. J Laparoendosc Adv Surg Tech A 2005; 15:140–4

    Article  PubMed  Google Scholar 

  7. Liu X, Wang X, Meng X, et al. Effects of patient position on lower extremity venous pressure during different types of hysterectomy. J Obstet Gynaecol Res 2015; 41:114–9

    Article  CAS  PubMed  Google Scholar 

  8. Tülün Öztürk. Risks Associated with Laparoscopic Surgery, Advanced Laparoscopy, Prof. Ali Shamsa (Ed.), ISBN: 978-953-307-674-4, InTech. 2011; Doi: 10.5772/18033

    Google Scholar 

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Correspondence to Priyadarshan Anand Jategaonkar.

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Jategaonkar, P.A., Jategaonkar, S.P. & Yadav, S.P. HELP: Hip Extension Lithotomy Position: A simple and productive technical modification at abdominal laparoscopy. Hellenic J Surg 88, 211–213 (2016). https://doi.org/10.1007/s13126-016-0319-5

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  • DOI: https://doi.org/10.1007/s13126-016-0319-5

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