Universidade Federal de Minas Gerais Department of Gynecology and Obstetrics Belo HorizonteMG Brazil Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais School of Medicine Belo HorizonteMG Brazil School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Bras Ginecol Obstet. 2024 May 27;46. doi: 10.61622/rbgo/2024rbgo46. eCollection 2024.
Effective patient positioning is a critical factor influencing surgical outcomes, mainly in minimally invasive gynecologic surgery (MIGS) where precise positioning facilitates optimal access to the surgical field. This paper provides a comprehensive exploration of the significance of strategic patient placement in MIGS, emphasizing its role in preventing intraoperative injuries and enhancing overall surgical success. The manuscript addresses potential complications arising from suboptimal positioning and highlights the essential key points for appropriate patient positioning during MIGS, encompassing what the surgical team should or shouldn't do. In this perspective, the risk factors associated with nerve injuries, sliding, compartment syndrome, and pressure ulcers are outlined to guide clinical practice. Overall, this paper underscores the critical role of precise patient positioning in achieving successful MIGS procedures and highlights key principles for the gynecological team to ensure optimal patient outcomes.
有效的患者体位是影响手术结果的关键因素，在微创妇科手术（MIGS）中尤为重要，因为精确的体位可以方便手术视野的最佳进入。本文全面探讨了在 MIGS 中战略性患者摆放的重要性，强调了其在预防术中损伤和提高整体手术成功率方面的作用。本文还讨论了因体位不佳而产生的潜在并发症，并强调了在 MIGS 期间正确摆放患者体位的要点，包括手术团队应该做什么和不应该做什么。从这个角度来看，还阐述了与神经损伤、滑动、间隔综合征和压疮相关的危险因素，以指导临床实践。总的来说，本文强调了精确的患者体位在实现成功的 MIGS 手术中的关键作用，并强调了妇科团队确保患者获得最佳结果的关键原则。
