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Positioning children in lithotomy with adjustable leg support

Shiyun Qin1, Liufang Huang1, Honglan Liao1

  • 1The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.

Journal of Pediatric Urology
|July 5, 2025
PubMed

Insights

A new adjustable leg support system significantly cuts pediatric lithotomy setup time by 50% and boosts surgeon satisfaction. This safe, efficient system is ideal for pediatric surgical positioning.

Area of Science:

  • Pediatric Surgery
  • Surgical Positioning Devices
  • Patient Safety

Background:

  • Pediatric lithotomy positioning presents challenges due to significant patient size variations.
  • Adaptable solutions are crucial for ensuring safety and efficiency in pediatric surgical procedures.

Purpose of the Study:

  • To evaluate a novel adjustable leg support system combined with the TRIMANO arm for pediatric lithotomy positioning.
  • Assess the safety and efficiency of this new positioning system.

Main Methods:

  • The study involved 59 pediatric patients aged 5 months to 14 years.
  • Key metrics included setup time, surgeon satisfaction, and complication rates (erythema, neurovascular injuries).

Main Results:

  • Setup time was reduced by 50% (102.98 ± 44.45 vs. 207.4 ± 95.9 seconds, p<0.001).
  • Surgeon satisfaction scores significantly improved from 3.68 ± 0.68 to 4.83 ± 0.42 (p<0.001).
  • Four cases of transient erythema occurred but resolved; no neurovascular complications were reported.

Conclusions:

  • The adjustable leg support system provides rapid and safe lithotomy positioning for pediatric patients of all ages.
  • The system demonstrates significant time savings and high clinician acceptance.
  • Intermittent repositioning may be necessary for surgeries exceeding 4 hours.
Abstract

Keywords:
ChildrenLithotomyLithotomy devicePediatric surgical position

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