Alternative positioning of patients for hemorrhoidectomy.
The left anterolateral position is an excellent alternative for hemorrhoidectomy under local anesthesia. The pain over the pubis and the low backache, frequently encountered in the prone position, are totally eliminated. Exposure of the operative fields is excellent. Occasional incomplete exposure at the right posterior quadrant with the Fansler speculum can be easily corrected by using a Pratt speculum instead.
D000772:Anesthesia, Local; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D011187:Posture