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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...

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Related Experiment Video

Updated: Jun 11, 2026

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
04:57

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

Published on: July 3, 2025

The patient position for PNL: does it matter?

Cecilia Maria Cracco1, Cesare Marco Scoffone, Massimiliano Poggio

  • 1Department of Urology, San Luigi University Hospital, Orbassano, Torino, Italy.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|July 3, 2010
PubMed
Summary
This summary is machine-generated.

The Galdakao-modified supine Valdivia (GMSV) position offers a safe and ergonomic alternative to the prone position for percutaneous nephrolithotomy (PNL). This technique enhances patient safety and procedural efficiency for complex kidney stone treatments.

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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
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Published on: July 3, 2025

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Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique

Published on: July 15, 2021

Area of Science:

  • Urology
  • Surgical Techniques
  • Nephrolithiasis Management

Background:

  • Percutaneous nephrolithotomy (PNL) is the standard treatment for complex kidney stones.
  • The conventional prone position for PNL presents significant anesthesiological and logistical challenges, including circulatory issues, increased radiation exposure, and patient discomfort.
  • Alternative patient positions have been explored to mitigate the drawbacks of the prone approach.

Purpose of the Study:

  • To evaluate the safety and efficacy of various patient positioning techniques for PNL.
  • To highlight the advantages of the Galdakao-modified supine Valdivia (GMSV) position.
  • To compare the GMSV position with the traditional prone position in terms of patient outcomes and procedural ergonomics.

Main Methods:

  • Review of existing literature on patient positioning for PNL.
  • Analysis of the benefits and risks associated with supine, prone, and modified supine positions.
  • Focus on the Galdakao-modified supine Valdivia (GMSV) position and its application in Endoscopic Combined IntraRenal Surgery (ECIRS).

Main Results:

  • The GMSV position demonstrates safety and effectiveness, offering ergonomic benefits.
  • It facilitates optimal cardiopulmonary control, easier renal access, and reduced risk of colonic injury.
  • The GMSV position enables simultaneous antero-retrograde approaches (ECIRS) without patient repositioning, reducing operating room time and staff requirements.

Conclusions:

  • The GMSV position is a safe, effective, and ergonomic alternative for PNL and ECIRS.
  • It offers significant advantages over the prone position, including improved patient safety, reduced procedural complexity, and enhanced urologist ergonomics.
  • While the prone position retains utility for specific cases like vertebral malformations or bilateral PNL, the GMSV position represents a versatile advancement in upper urinary tract stone management.