The Modified Lithotomy: A Surgical Position for Lower Extremity Wound Care Procedures in Super Morbidly Obese Patients. A Case Study.

Unlabelled: Operative positioning of morbidly obese patients presents unique challenges and can cause complications, especially when the operative field involves the proximal lower extremity or genitoperineal region.

Purpose: The purpose of this case study was to describe a modified lithotomy operative positioning technique that has helped the authors improve care of these patients.

Methods: Double-layer, foam padding at least 4 inches thick is secured to the top and sides of 2 small rolling preparation tables using 3-inch silk tape to create "lithotomy" leg holders, the operating table is raised appropriately, the abducted legs are placed onto the padded prep tables, and the footboard is carefully lowered to provide access to the groin and medial thighs.