Медицинская библиотека · Journal of pediatric urology · 2025

Positioning children in lithotomy with adjustable leg support.

Qin Shiyun, Huang Liufang, Liao Honglan, Li Zhaoying, Dou Xiaolan, Li Jinyan, Chen Xiaojun, Guo Qin, Zeng Shuyan, Huang Guilan, Gong Fengqiu

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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.

Для цитирования: Qin Shiyun, Huang Liufang, Liao Honglan, Li Zhaoying, Dou Xiaolan, Li Jinyan, Chen Xiaojun, Guo Qin, Zeng Shuyan, Huang Guilan, Gong Fengqiu. Positioning children in lithotomy with adjustable leg support.. Journal of pediatric urology. 2025. DOI: 10.1016/j.jpurol.2025.06.014.

Предметные рубрики MeSH

Humans Child Child, Preschool Adolescent Infant Male Female Patient Positioning Equipment Design Leg

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