Poziţionarea pacientelor în intervenţiile ginecologice.

The various types of patient positioning during gynecological surgical interventions produce numerous hemodynamic and mechanical changes, optimal positioning requiring a compromise between the position required for surgical access and that which the patient can tolerate. The objective of this article is to describe the main types of positioning of patients in gynecological interventions, while analyzing the precautions necessary for the prophylaxis of the related complications. The main types of positioning discussed in this article are the supine position (dorsal decubitus), the Trendelenburg position, and the lithotomy (or gynecological) position. Patient placement for a surgical procedure is the responsibility of the surgeon, anesthetist, and nurse in the operating room. Whenever possible, the position should be rehearsed with the patient before the anesthesia, to verify that the patient can tolerate this positioning. The chosen position may cause physiological changes, that may be exacerbated by anesthesia and may result in soft tissue injuries. We have presented all these types of changes: cardiovascular, pulmonary, nerve destruction, skin lesions caused by pressure, ulcerations, compartment syndrome, increased intracranial pressure, drawing attention to the available prevention methods. [ABSTRACT FROM AUTHOR]