The operating room and the patient; a manual of pre- and post-operative treatment . Fig. 135.—Exaggerated lithotomy position. breast resting upon a very flat pillow. The left arm lies straighton the table behind the patient. The right arm, bent at theelbow, lies naturally across the chest. The buttocks lie nearthe edge of the table; the knees are flexed and drawn up towardthe abdomen, the right knee nearer the abdomen than the small pad is placed between the knees. The kidney position (Fig. 137) is secured by placing thepatient in Sims position, either upon the right or left side, asreq
The operating room and the patient; a manual of pre- and post-operative treatment . Fig. 135.—Exaggerated lithotomy position. breast resting upon a very flat pillow. The left arm lies straighton the table behind the patient. The right arm, bent at theelbow, lies naturally across the chest. The buttocks lie nearthe edge of the table; the knees are flexed and drawn up towardthe abdomen, the right knee nearer the abdomen than the small pad is placed between the knees. The kidney position (Fig. 137) is secured by placing thepatient in Sims position, either upon the right or left side, asrequired; then introducing an oblong sand pillow between thetable and the flank so as to cause the kidney region on the 184 OPERATING ROOM AXD THE PATIENT affected side to become prominent. The sandbag should besufficiently large to cause a flattening of the affected side by-widening the space between the ribs and the iliac crest. The. Fig. 136.—Sims position. kidney attachment to the operating table may be used in placeof the sandbag. The patient should lie more upon the sidethan in the Sims position. This is maintained by a secondlarge sandbag placed parallel to the abdomen or by securing
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Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
