title: Supine Colonoscopy: An Advantage over Left Lateral in Synchronous Proctological Surgery.
abstract: BACKGROUND
  Repositioning sedated or anesthetized patients between colonoscopy and further surgical procedures is potentially unsafe and time consuming. We aim to show that colonoscopy performed in the modified lithotomy position offers surgical, anesthetic, and patient advantage.
  
  
  METHODS
  Patients presenting for colonoscopy and a synchronous surgical procedure between May 2013 and August 2014 were prospectively included. Colonoscopy duration, cecal intubation rate (CIR), terminal ileum intubation rate, and patient characteristics were recorded.
  
  
  RESULTS
  Sixty-eight patients were included in this study. Of them, 24 (35%) were women and mean age was 42.3 years. Mean colonoscopy duration was 7 minutes (2-24 minutes). CIR was 100%. Terminal ileum intubation rate was 92%. Utilization of ancillary colonoscopic maneuvers was easier for the operator/assistant. Overall theatre time was reduced and there was no increase in length of stay.
  
  
  CONCLUSIONS
  The modified lithotomy position offers multiple surgical, anesthetic, theatre, and patient advantage in those undergoing a colonoscopy followed by a further proctological or surgical procedure.
authors.affiliation: 1 School of Medicine, University Notre Dame , Australia, Darlinghurst, New South Wales, Australia .
authors.forename: Helen
authors.initials: H
authors.lastname: Willcock
authors.affiliation: 2 St. Vincent's Clinical School , UNSW Australia, Darlinghurst, New South Wales, Australia .
authors.forename: Darren Marc
authors.initials: DM
authors.lastname: Gold
mesh_terms: D000328:Adult; D000368:Aged; D003106:Colon / Q000000981:diagnostic imaging / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D056888:Patient Positioning / Q000379:methods*; D011446:Prospective Studies; D012007:Rectum / Q000000981:diagnostic imaging / Q000601:surgery*; D016683:Supine Position