Lift-assisted offset lithotomy: Positioning for transurethral operations in morbidly obese

The incidence of morbid obesity is rapidly increasing in the United States. This presents a unique challenge in the diagnosis, management, and surgical treatment of urologic disease. The use of the lithotomy position for transurethral procedures is often not possible because of the body habitus and...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 2006-05, Vol.67 (5), p.1084.e1-1084.e3
Hauptverfasser: Fisher, Mark B., Broghammer, Joshua, Stefanou, Amalia, Triest, Jeffrey A.
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container_end_page 1084.e3
container_issue 5
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container_title Urology (Ridgewood, N.J.)
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creator Fisher, Mark B.
Broghammer, Joshua
Stefanou, Amalia
Triest, Jeffrey A.
description The incidence of morbid obesity is rapidly increasing in the United States. This presents a unique challenge in the diagnosis, management, and surgical treatment of urologic disease. The use of the lithotomy position for transurethral procedures is often not possible because of the body habitus and equipment-specific weight limitations. During positioning, it becomes imperative to maintain the safety of both the patient and the operating room personnel. We present a new, bariatric lift-assisted positioning technique used in the management of a 311-kg morbidly obese man with high-grade, superficial, papillary urothelial carcinoma.
doi_str_mv 10.1016/j.urology.2005.10.056
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subjects Carcinoma, Transitional Cell - complications
Carcinoma, Transitional Cell - surgery
Cystoscopy - methods
Durable Medical Equipment
Humans
Male
Middle Aged
Obesity, Morbid - complications
Obesity, Morbid - surgery
Supine Position
Surgical Equipment
Urinary Bladder Neoplasms - complications
Urinary Bladder Neoplasms - surgery
title Lift-assisted offset lithotomy: Positioning for transurethral operations in morbidly obese
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