Positioning children in lithotomy with adjustable leg support.

IF 2 3区医学 Q2 PEDIATRICS

Journal of Pediatric Urology Pub Date : 2025-06-23 DOI:10.1016/j.jpurol.2025.06.014

Shiyun Qin, Liufang Huang, Honglan Liao, Zhaoying Li, Xiaolan Dou, Jinyan Li, Xiaojun Chen, Qin Guo, Shuyan Zeng, Guilan Huang, Fengqiu Gong

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引用次数: 0

Abstract

Background: Pediatric lithotomy positioning requires adaptable solutions due to wide variations in patient size. We evaluated a novel adjustable leg support system combined with the TRIMANO arm for safety and efficiency.

Methods: 59 pediatric patients (age: 5 months-14 years) were positioned using the system. Setup time, surgeon satisfaction, and complications (erythema, neurovascular injuries) were assessed.

Results: The system significantly reduced setup time by 50% (102.98 ± 44.45 vs. 207.4 ± 95.9 seconds, p<0.001) while improving surgeon satisfaction scores from 3.68 ± 0.68 to 4.83 ± 0.42 (p<0.001). Four cases of transient erythema were observed but resolved with pressure relief, with no neurovascular complications reported.

Conclusions: The system enables rapid, safe lithotomy positioning for pediatric patients across age groups, with significant time savings and high clinician acceptance. Prolonged surgeries (>4 hours) may require intermittent repositioning.

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在可调节的腿部支撑下定位患儿取石。

背景：小儿取石定位需要灵活的解决方案，因为病人的大小有很大的差异。我们评估了一种新型的可调节腿支撑系统与TRIMANO臂的安全性和有效性。方法：59例儿童患者（年龄：5个月~ 14岁）使用该系统进行定位。评估设置时间、外科医生满意度和并发症（红斑、神经血管损伤）。结果：该系统可将设置时间（102.98±44.45秒vs. 207.4±95.9秒）显著缩短50%。结论：该系统可为不同年龄段的儿科患者实现快速、安全的取石定位，显著节省时间，临床接受度高。延长手术时间（约4小时）可能需要间歇性复位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY

CiteScore

3.70

自引率

15.00%

发文量

330

审稿时长

4-8 weeks

期刊介绍： The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.