The surgical positions are
(1) Recumbent (Lying or reclining),
(2) Dorsal (pertaining to the back),
(3) Modified Fowler's, (Fowler's position- that in which the head of the patient's bed is raised to 18-20 inches above the level.
(4) Genupectoral position- the patient resting on his knees and chest, arms crossed above his head.
(5) Left lateral,
(6) Lithotomy position-the patient on his back, legs flexed on his thighs, thighs flexed on his abdomen and abducted.
(7) Prone- face downwards.
(8) Sim's position- patient on left side and chest, right knee and thigh drawn up, left arm along the back.
(9) Trendelenburg's postion- patient on back, on a plane inclined 45 degrees, legs and feet hanging down over end of the table..
most common Surgical Positions:
1. Supine or Dorsal Position
The legs are uncrossed, slightly apart and both arms are at the side or at the arm boards. The palms of the hands should be facing the body to prevent unnecessary muscle strain on the arms. This type of surgical position is used during the induction of general anesthesia, abdominal surgeries, open-heart surgeries, surgeries on neck, face and mouth, and most surgeries on extremities.
The following equipment are needed for this type of position: (1) pillow & padding materials (2) shoulder roll for modifications that require hyperextension of the patient’s neck (3) padded footrest available for reverse trendelenburg.
There are also disadvantages or possible hazards which may include skin breakdown, lumbar strains, circulatory compromise and nerve injury.
2. Prone Position
The patient is primarily positioned in supine and then log-rolled onto abdomen after the induction of anesthesia. The patient’s arms are either on the side or at the arm boards. Those patients who are having surgery on the posterior part such as back or spine or at the back of his or her leg are placed in prone position.
The following equipment are