A Literature Review: Sequential Compression Devices And Laparoscopic Gynaecological Surgical Patients In the Lithotomy Position.

INTRODUCTION This assignment will review recent articles pertaining to the implement of consequent compression devices (SCDs) for the prevention of lower limb problems in sexual union with the lithotomy position during laparoscopic gynaecological functioning. It will talk about the results of the review as they relate to clinical practice and the skills I flummox acquired in the pre-operative and assessment phases of the enduring. I will thence address how the info gained will be used to intensify the patient forethought I deliver. DISCUSSION It is current hackneyed practice for patients coming to playing field for laparoscopic Gynaecological cognitive process to have SCDs sleeves applied by the harbor stave. When questioned many staff did not know how to assess the patient to ensure the sleeves fitted mighty or what type of patients should not have SCDs on. They were not aw nuclear number 18 of the authorisation complications from positioning for this type of o perating theatre or the problems that could arise from the use of SCDs. Indeed there were much(prenominal) countersign and conflicting arguments as to the effectiveness of the SCDs for patients in the lithotomy position. Peers and colleagues fellow soupcon of the benefits of SCDs ranged from alleviating post operative pain not related to available incision, and improving venous return; to effectively reducing the say-so for compartment syndrome to occur in the lower limbs.

While others thought SCDs had no effect on the patient during their hospital admission. Compartment syndrome occurs when pressure on the tissues w ithin the calf of the leg is sustained for a! extensive period of time, arterial perfusion and circulation to the limb cannot be maintained resulting in swelling of the tissues Mumtaz et al 2002). When a patient is placed in lithotomy position their legs are raised to 90 degrees and the calves and upper thighs are supported by the positioning device. If you want to get a full essay, order it on our website: OrderCustomPaper.com

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