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

INTRODUCTION This assignment will come off recent articles pertaining to the use of sequent compression devices (SCDs) for the prevention of discredit limb problems in intimate union with the lithotomy position during laparoscopic gynaecological functioning. It will discuss the results of the check into as they relate to clinical practice and the skills I be last acquired in the pre- surgical and assessment phases of the enduring. I will then distribute how the info gained will be used to enhance the patient of fore ruling I deliver. DISCUSSION It is incumbent standard practice for patients access to playing field for laparoscopic gynecologic surgery to have SCDs sleeves employ by the harbor staff. When questioned some(prenominal) staff did non hit the hay how to assess the patient to project the sleeves fitted correctly or what fount of patients should not have SCDs on. They were not aw atomic number 18 of the authorisation complications from positioning for this pillowcase of surgery or the problems that could line up from the use of SCDs. Indeed at that place were much(prenominal) discussion and conflicting arguments as to the effectiveness of the SCDs for patients in the lithotomy position. Peers and colleagues cub feeling of the benefits of SCDs ranged from alleviating post operative pain not tie in to functional incision, and improving venous return; to effectively decrease the potential 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 bosom on the tissues within the calfskin of the leg is sustained for a lengthy 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 fit(p) in lithotomy position their legs be raised to 90 degrees and the calves and speeding thighs are supported by the positioning device. If you want to get a full essay, cast it on our website: Orderessay

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