Journal of pediatric urology · 2025
Positioning children in lithotomy with adjustable leg support.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Qin Shiyun, Huang Liufang, Liao Honglan, Li Zhaoying, Dou Xiaolan, Li Jinyan, Chen Xiaojun, Guo Qin, Zeng Shuyan, Huang Guilan, Gong Fengqiu
Аннотация
BACKGROUND: Pediatric lithotomy positioning requires adaptable solutions due to wide variations in patient size. We evaluated a novel adjustable leg support system combined with the TRIMANO arm for safety and efficiency.
METHODS: 59 pediatric patients (age: 5 months-14 years) were positioned using the system. Setup time, surgeon satisfaction, and complications (erythema, neurovascular injuries) were assessed.
RESULTS: The system significantly reduced setup time by 50% (102.98 ± 44.45 vs. 207.4 ± 95.9 seconds, p<0.001) while improving surgeon satisfaction scores from 3.68 ± 0.68 to 4.83 ± 0.42 (p<0.001). Four cases of transient erythema were observed but resolved with pressure relief, with no neurovascular complications reported.
CONCLUSIONS: The system enables rapid, safe lithotomy positioning for pediatric patients across age groups, with significant time savings and high clinician acceptance. Prolonged surgeries (>4 hours) may require intermittent repositioning.
METHODS: 59 pediatric patients (age: 5 months-14 years) were positioned using the system. Setup time, surgeon satisfaction, and complications (erythema, neurovascular injuries) were assessed.
RESULTS: The system significantly reduced setup time by 50% (102.98 ± 44.45 vs. 207.4 ± 95.9 seconds, p<0.001) while improving surgeon satisfaction scores from 3.68 ± 0.68 to 4.83 ± 0.42 (p<0.001). Four cases of transient erythema were observed but resolved with pressure relief, with no neurovascular complications reported.
CONCLUSIONS: The system enables rapid, safe lithotomy positioning for pediatric patients across age groups, with significant time savings and high clinician acceptance. Prolonged surgeries (>4 hours) may require intermittent repositioning.