surgical technology powerpoint

Surgical Techniques

The goal of proper positioning is to provide the best possible access and visualization of the surgical site while causing the least possible compromise in physiological function and stress to joints, skin and other body parts

Positioning should also provide access to the patient for the administration of IV fluids and anesthetic agents and provide patient safety

Trendelenburg Position

Reverse Trendelenburg

Position

Fowler’s Position

Sitting Position

Laparotomy Position

Supine Position

This is the usual position for administering general anesthesia and for doing most surgery of the abdomen such as laparotomy, herniorrhaphy, and appendectomy. With slight modifications, it is also used for other types of surgery, such as surgery on the arms or legs.

Supine Position

Reverse Trendelenburg

Position

Fowler’s Position

Sitting Position

Lithotomy Position

Trendelenburg Position

Used for operations on the bladder, prostate gland, colon, female

reproductive system, or for any operation in

which it is desirable to tilt the abdominal

viscera away from the pelvic area for better

exposure

Supine Position

Trendelenburg Position

Fowlers Position

Sitting Position

Lithotomy Position

May be used for surgery on the neck,

such as thyroidectomy, and

for certain abdominal surgery,

such as liver or gallbladder operations

Reverse Trendelenburg

Position

Supine Position

Trendelenburg Position

Reverse Trendelenburg Position

Sitting Position

Lithotomy Position

Fowler’s Position

Applied at operations on a

head and neck, at laparoscopic operations,

fundoplications and

cardiomyotomy

Supine Position

Trendelenburg Position

Reverse Trendelenburg Position

Fowler’s Position

Lithotomy Position

Sitting Position

Included in surgery for which the patient sits upright are

various operations on the nose and throat, as well as some plastic surgical procedures.

Supine Position

Trendelenburg Position

Reverse Trendelenburg Position

Fowler’s Position

Sitting Position

Lithotomy Position

Used for surgery in the perineal area,

such as drainage of rectal abscesses and

perineal prostatectomies, and

for gynecological surgery such as

vaginal hysterectomy

Prone Position

Kraske (Jackknife) Position

Lateral Position

Kidney Position

Sims’ Position

Used for surgical procedures-major or minor-that are performed on the back, shoulders, neck, or back of the head. Placement of the

patient in the prone position for minor surgery, using local anesthesia, differs in some respects with placement for general

anesthesia.

allowing the surgeon to have optimal access to the kidneys.

Prone Position

Lateral Position

Kidney Position

Sims’ Position

Kraske (Jackknife)

Position

Used for surgery on the coccyx, buttocks, or rectum, particularly when the patient has had spinal anesthesia and there is no objection to his being placed either face downward or head low.

Kraske (Jackknife) Position

Prone Position

Kidney Position

Sims’ Position

Lateral Position

Examples of why we would use this procedure is for upper chest or kidney procedures

Kraske (Jackknife) Position

Prone Position

Lateral Position

Sims’ Position KidneyPosition

Used for surgery on the kidney or the

proximal third of the ureter.

Prone Position

Kidney Position

Lateral Position

Kraske (Jackknife) Position

Sims’Position