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Hip With the Times - July 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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to send them home soon after surgery. The anteri- or approach to the hip joint spares the muscle at the pelvis and femur, shortens recoveries and prepares patients for same-day discharge. This single-incision technique, which requires one leg to stay in a normal position while other is hyperex- tended to where the foot is on or just above the floor, has traditionally required a specialty table that's both large and relatively expensive, as much as $150,000 or more. Enter innovative leg positioners that attach to any standard operating room table to provide surgeons with the access they need to perform anterior hip replacements. The attachments represent a significant recent breakthrough in advanced patient positioning, according to John Masonis, MD, a hip and knee surgeon at OrthoCarolina in Charlotte, N.C. Spine procedures, which are also beginning to gain traction in the outpatient setting, rely on stable access to the vertebrae or posterior pelvic region. Surgeons must minimize muscle damage and potential pain, and manage bleeding, says John C. Liu, MD, co-director of the Spine Surgery Center at Keck Medicine of USC in Los Angeles, Calif. "During lumbar spine surgery, it's about maximizing exposure and spine alignment and decreasing abdominal compression," says Dr. Liu. "That's how you keep intraoperative blood loss to a minimum." Radiolucent tables are critical both clinically and in terms of effi- 5 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 7 • STAYING PUT A special underbody pad absorbs perspiration, which helps keep patients in the Trendelenburg position from sliding.

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