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Improved patient positioning for percutaneous nephroscopic procedures using a surgical saddle
C D Turner1, J Anderson, G S Gerber
1Department of Surgery, University of Chicago Pritzker School of Medicine, Illinois, USA.
The Journal of Urology
|December 22, 1999
Summary
The Cloward surgical saddle offers secure patient positioning for percutaneous nephroscopic procedures. This method minimizes risks of pressure injury and pulmonary compromise during surgery.
Area of Science:
- Nephrology
- Surgical Technology
Background:
- Percutaneous nephroscopic procedures require precise patient positioning.
- Traditional positioning methods can pose risks of pressure injury and pulmonary compromise.
Purpose of the Study:
- To evaluate the modified use of the Cloward surgical saddle for patient positioning during percutaneous nephroscopic procedures.
- To assess the safety and efficacy of the Cloward surgical saddle in this context.
Main Methods:
- The Cloward surgical saddle, originally designed for lumbar surgery, was adapted for percutaneous nephroscopic procedures.
- The modified positioning technique was applied to 10 patients.
Main Results:
- The surgical saddle facilitated secure patient positioning in all 10 cases.
- Pulmonary airway pressure was consistently maintained below 30 cm. water.
- No pressure injuries or position-related complications were observed.
Conclusions:
- The Cloward surgical saddle provides a safe and effective method for patient positioning in percutaneous nephroscopic surgery.
- This positioning technique helps mitigate risks of pressure injury and pulmonary compromise.