Positioning Ideas: Lithotomy

We have a surgeon who likes us to use the bean bag. We put this on top of a green megadyne gel pad then use the regular yellow gel pad that fits on top of the bean bag. The U part where the patient's neck is positioned has the two parts on each side that we press up against the shoulders so when the patient is in a steep position they won't slide up towards head of bed. For patients we don't want sliding towards the bottom we use an axillary gel roll right under the buttocks. Hope this helps.

Oh they'll slide - not much that you can see - but if they wake up with nerve problems from having their shoulders compressed for 3 hours, you'll wish you had figured out a better way.

The egg crate concept works great.

Here's an idea. If you can immobilize the thighs, the upper body won't be able to slip down. After the legs are in allen stirrups, I would wrap a folded blanket around each thigh for cushioning, so the thighs are like pigs in a blanket. Then tape the wrapped thighs to the stirrups so that the legs cannot extend during the case. Understand what I mean?