It is crucial that trainees understand the importance of good surgical positioning and the practicalities involved. Good surgical positioning is a balance between optimising surgical access whilst minimising risks to the patient, such as haemodynamic instability, impaired ventilation or musculoskeletal injury.
Different positions are necessary for different surgical procedures and it is important to know not only the correct position but the advantages and disadvantages to using that position.
The tutorial will discuss why positioning is important and then provide a practical guide to the three most commonly used positions in obstetrics and gynaecology:
- Lloyd Davis.
This tutorial should be complemented by spending time in gynaecological theatre paying particular attention to how and why patients are transferred and positioned.
When you have completed this tutorial you will be able to:
- why surgical positioning is important
- the indications for and how to safely position patients in lithotomy, Trendelenburg and Lloyd Davis positions.
Last updated December 2015.