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The surgical table
The surgical table
The surgical table is the centerpiece of the operating room and one of the dermatologic surgeonโs most important equipment purchasing decisions. The surgical table should be electrically foot operated, easily adjustable, well padded, and comfortable. Variables to consider include table width and entry height. While a wider table may be more comfortable for larger patients, a narrow table allows the dermatologic surgeon to access the surgical site more easily and maintain good ergonomic posture. Surgical tables with a low entry height are very important for the elderly or disabled, and facilitate easy transfer from wheelchairs. Other accessories to consider include armrests, headrests, armboards, footboards, and stirrups. Patients feel less anxious and more secure if they can easily rest their arms and shoulders without fear of rolling off the table.
Adjustability is another consideration when choosing a surgical table. The importance of maintaining flexibility in patient positioning cannot be exaggerated. The tilt adjustment should allow the table to place the patient in the Trendelenburg position, helpful when managing vasovagal reactions. A useful tip for automated tables is to utilize the Trendelenburg position as a preset, so that it can be accessed rapidly.
With the increasing prevalence of obesity worldwide, newer facilities often consider measures for obese patients when choosing their surgical table and designing their
surgical facility. However, despite the newest equipment, access to the surgical site in these patients remains challenging.