Perioperative Measures and Positioning the Patient for Surgery

Make Surgeons’ Position More Comfortable

“…During FGPS, the gynecological lithotomy position is used to place patients: leg plates of the OR table are removed, with patient’s legs positioned in leg holders. 1 , 5 FGPS is within the realm of plastic surgery 1 and many procedures are quite different from classic gynecologic operations. To explore a comfortable position for surgeons, we refine the accessories of the OR table (Maquet Getinge Group, Rastatt, Germany): Simply rotate the 2 pieces of leg plates about 70° outward each (Fig.…”

“…1 white arrow), which has a drainage effect. 5 FGPS patients are usually under local infiltration anesthesia, and abundant anesthetics will be injected to assure analgesia in this very sensitive area. 1 , 4 Therefore, excess anesthetics will flow out when cutting is commenced during FGPS.…”

“… 1 , 4 Therefore, excess anesthetics will flow out when cutting is commenced during FGPS. Moreover, there might be body fluids from the urethra, vagina, and anus during surgery, 5 and sometimes disinfection has to be done again after skin preparation and draping. Without efficient drainage, the disinfectant, body fluids, and anesthetics may dampen the sterile drapes on the extension shelf, 4 which poses a risk to the asepsis of both the shelf and the surgical instruments on it.…”

“…Thus, we believe it is necessary to keep the sacral cut-out area clear to ensure the asepsis during surgery as well as a dry and warm condition for patients’ buttock. 5 …”