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A Randomized Controlled Comparative Study of the Three Over-Bed Techniques for Positioning and Repositioning the Lithotomy Position While Using Stirrups

Overview
Journal J Multidiscip Healthc
Publisher Dove Medical Press
Specialty Health Services
Date 2024 Jan 2
PMID 38164462
Authors
Ling-Ling Zhang
Zhi-Fang Luo
Guang-Jing Yang
Affiliations
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Abstract

Objective: In this study, the clinical application and efficacy of three different methods for placing and repositioning patients in the lithotomy position over the bed using stirrups were evaluated.

Methods: A total of 240 surgical patients who underwent surgery in Chongqing Traditional Chinese Medicine Hospital between July and November 2022 were selected as study participants. Using envelopes, they were randomly divided into three groups of 80 cases each using a randomization method. The groups included the traditional over-bed method, the postural trolley-assisted over-bed method, and the direct over-bed method. Using the Kruskal-Wallis rank-sum test, analysis of variance, and multiple linear regression equations, the placement time, over-bed repositioning time, and total time of the three methods for placing and repositioning in the lithotomy position supported by stirrups were analyzed statistically. In addition, we investigated and examined the satisfaction of nurses and doctors with the aforementioned techniques.

Results: The placement time, repositioning time, and total time were significantly higher for the traditional over-bed method than for the postural trolley-assisted over-bed method and the direct over-bed method (both < 0.01). However, there was no statistically significant difference between the postural trolley-assisted over-bed method and the direct over-bed method ( > 0.05). Nurses and doctors reported significantly higher satisfaction with the postural trolley-assisted over-bed method and the direct over-bed method compared to the traditional over-bed method (both < 0.01). In addition, nurses were more satisfied with the direct over-bed method than the postural trolley-assisted over-bed method ( < 0.05).

Conclusion: The results of this study demonstrate that the direct over-bed method is preferred for positioning and repositioning patients in the lithotomy position with the support of stirrups.

Citing Articles

Advanced Management of Complex Transplant Lithiasis: Low Lithotomy and Boot Stirrups Technique.

Zeng M, Kwan K, Tang J, Wen X, Xiong L Am J Case Rep. 2025; 26:e946224.

PMID: 39741401 PMC: 11702444. DOI: 10.12659/AJCR.946224.

References
1.
Kumar P, Mishra T, Sarthak S, Sasmal P . Lithotomy versus prone position for perianal surgery: a randomized controlled trial. Ann Coloproctol. 2021; 38(2):117-123. PMC: 9021856. DOI: 10.3393/ac.2020.12.16. View
2.
Hara K, Kuroki T, Kaneko S, Taniguchi K, Fukuda M, Onita T . Prevention of well-leg compartment syndrome following lengthy medical operations in the lithotomy position. Surg Open Sci. 2020; 3:16-21. PMC: 7709791. DOI: 10.1016/j.sopen.2020.10.001. View
3.
Bjoro B, Mykkeltveit I, Rustoen T, Candas Altinbas B, Roise O, Bentsen S . Intraoperative peripheral nerve injury related to lithotomy positioning with steep Trendelenburg in patients undergoing robotic-assisted laparoscopic surgery - A systematic review. J Adv Nurs. 2019; 76(2):490-503. DOI: 10.1111/jan.14271. View
4.
Kajitani R, Minami M, Kubo Y, Iwaihara H, Takishita Y, Isayama M . Intraoperative pressure monitoring of the lower leg for preventing compression-related complications associated with the lithotomy position. Surg Endosc. 2021; 36(8):5873-5881. DOI: 10.1007/s00464-021-08921-0. View
5.
Negash S, Anberber E, Ayele B, Ashebir Z, Abate A, Bitew S . Operating room efficiency in a low resource setting: a pilot study from a large tertiary referral center in Ethiopia. Patient Saf Surg. 2022; 16(1):3. PMC: 8742370. DOI: 10.1186/s13037-021-00314-5. View