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Perioperative Positioning in Neurosurgery: A Technical Note on Park Bench Positioning for the Obese Patient Using the "Arrowhead" Technique. | LitMetric

AI Article Synopsis

  • Complex neurosurgical procedures in the posterior fossa demand careful positioning of patients to optimize access to intracranial mass lesions, as even small changes in lesion location can significantly impact the surgical approach.
  • The literature outlines various modified approaches, including traditional lateral, semi-sitting, and park-bench methods, but does not deeply address technical challenges related to patients with larger body sizes.
  • This text introduces the "Arrowhead technique" for positioning obese patients in the park bench position and includes a review of positional complications and considerations for surgeries involving obese individuals.

Article Abstract

Complex neurosurgical procedures, such as those traversing the posterior fossa, require optimization of the operative corridor with advanced patient positioning methods. Even seemingly small changes in the location of intracranial mass lesions can require a more dramatic operative trajectory. Modifications of traditional lateral, semi-sitting, and park-bench approaches have been described in the literature to access these lesions; however, technical considerations with respect to enlarged body habitus have yet to be fully explored. Herein, we describe a technique for positioning obese patients in the park bench position, which is referred to as the "Arrowhead technique," along with a literature review of positional complications and considerations in the setting of obesity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8412889PMC
http://dx.doi.org/10.7759/cureus.16932DOI Listing

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