@Article{,
AUTHOR = {Jordan Allen, Necole M. Streeper},
TITLE = {How I Do It: Modification of technique to safely position patients with super obesity in dorsal lithotomy for ureteroscopic management of kidney stones},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {27},
YEAR = {2020},
NUMBER = {6},
PAGES = {10488--10491},
URL = {http://www.techscience.com/CJU/v27n6/60354},
ISSN = {1488-5581},
ABSTRACT = {Obesity is a known risk factor for recurrent nephrolithiasis 
and it can be challenging to provide safe surgical 
intervention in the super obese population. Despite high 
weight limits on surgical beds, these often do not take 
into account positioning the patient on the end of the bed 
for dorsal lithotomy, which can risk an unsteady bed. In 
addition, depending on patient habitus the leg stirrups 
may not accommodate. There is limited literature that 
discusses the technical approach for positioning super obese patients in dorsal lithotomy when the weight limit 
approaches or exceeds the capacity of equipment available. 
In this article, we present a modified positioning technique 
to improve bed stability, which also provides an alternative 
if the patient’s legs are not supported by available leg 
stirrups. From our experience, this modified dorsal 
lithotomy positioning for ureteroscopy is feasible and 
safe in patients with super obesity. Surgical intervention 
on this population requires appropriate planning and 
teamwork to ensure safe positioning.},
DOI = {}
}