The Lithotomy Position in Colon Surgery

The modified lithotomy position frequently is used in general surgery because it gives excellent simultaneous access to the abdomen and perineum. There are a variety of complications that may occur including lumbosacral plexus stretch, sciatic and peroneal nerve injury, and compartment syndrome of the legs. Through preoperative nursing assessment of a patient's age, nutritional status, skin condition, pre-existing disease state, and anticipated type and length of surgical procedure, patients at risk for developing postoperative complications may be identified. The perioperative nurse's role is to use this knowledge to assist the surgical team in safe patient positioning and optimal intraoperative care.