The operating room and the patient; a manual of pre- and post-operative treatment . 180 OPERATING ROO:\I AND THE PATIEXT abdomen prominent. The arms may be placed above the head(Fig. 129) or secured high up across the chest. Before intro-ducing the sutures the elevator is lowered to obviate tension onthe wound. The dorsal position (Fig. 130) is ^-ith the patient fiat on theback. The arms may be either secured high up on the chestfastened naturally above the head, or allowed to rest at the side. The Trendelenburg position (Fig. 131) is secured by placingthe patient in the dorsal position, with
The operating room and the patient; a manual of pre- and post-operative treatment . 180 OPERATING ROO:\I AND THE PATIEXT abdomen prominent. The arms may be placed above the head(Fig. 129) or secured high up across the chest. Before intro-ducing the sutures the elevator is lowered to obviate tension onthe wound. The dorsal position (Fig. 130) is ^-ith the patient fiat on theback. The arms may be either secured high up on the chestfastened naturally above the head, or allowed to rest at the side. The Trendelenburg position (Fig. 131) is secured by placingthe patient in the dorsal position, with the shoulders resting. Fig. 131.—Trendelenburg position. against the shoulder supports of the table. The head of thetable is then depressed as much as required. In intrapelvicoperations the Trendelenburg position is useful. The weightof the body rests on the shoulders. To prevent pressure effects,rubber pads are placed between the shoulders and the supports. The reversed Trendelenburg position (Fig. 132) is useful inoperations for varicocele, varicosities of the lower extremity, inlimiting infection to the lower abdomen in diffuse septic peri-tonitis and in operations on the head and neck. The patientis secured to the table by bandages arranged to distribute thestrain, the feet resting against a padded foot piece. The lithotomy position (Fig. 133) is obtained by placing the PRE-OPERATIVE PREPARATION AND THE PRIMARY DRESSING 181 patient in the dorsal position with the thighs flexed on theabdomen and the legs on the thighs. The patient should thenbe drawn down on the table until the buttocks project well ov
Size: 1943px × 1286px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
