Efficient Method for Percutaneous Nephrolithotomy Positioning Using Abdominal Binders

Abstract

Introduction:

Percutaneous nephrolithotomy (PCNL) often requires prone positioning. In addition to difficulties with patient positioning, proning is a stressful task for the anesthesia team as well as nursing. We describe a method to improve the efficiency of patient proning during PCNL positioning using abdominal binders.

Methods:

Two abdominal binders are placed on the patient's stretcher in the preoperative area at shoulder and hip height. When the patient is anesthetized, the surgical team uses the abdominal binders to strap the bolsters across the patient, in the location where they best position the patient for PCNL. The patient is then proned and the binders are cut off of the patient before beginning the procedure.

Results:

We have anecdotally found improved pronation time and efficiency using our method. The chest roll often needs small adjustments; however, this has proven much more effective than proning the patient and hoping he/she lands correctly on the bolsters.

Conclusions:

Prone positioning for PCNL using abdominal binders is a novel, safe, and efficient way to position patients before surgery.

Authors have received and archived patient consent for video recording/publication in advance of video recording of procedure.

The authors report no commercial associations during the past 3 years that might create a conflict of interest in connection with the video.

No funding was received for this article.

Runtime of video: 02 mins 50 secs