title: Lift-assisted offset lithotomy: positioning for transurethral operations in morbidly obese.
abstract: The incidence of morbid obesity is rapidly increasing in the United States. This presents a unique challenge in the diagnosis, management, and surgical treatment of urologic disease. The use of the lithotomy position for transurethral procedures is often not possible because of the body habitus and equipment-specific weight limitations. During positioning, it becomes imperative to maintain the safety of both the patient and the operating room personnel. We present a new, bariatric lift-assisted positioning technique used in the management of a 311-kg morbidly obese man with high-grade, superficial, papillary urothelial carcinoma.
authors.affiliation: Department of Urology, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
authors.forename: Mark B
authors.initials: MB
authors.lastname: Fisher
authors.forename: Joshua
authors.initials: J
authors.lastname: Broghammer
authors.forename: Amalia
authors.initials: A
authors.lastname: Stefanou
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Triest
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000150:complications / Q000601:surgery*; D003558:Cystoscopy / Q000379:methods*; D004389:Durable Medical Equipment; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D016683:Supine Position; D013523:Surgical Equipment; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000601:surgery*