Authors of section

Author

Denis Marcellin-Little

Executive Editor

Amy Kapatkin

General Editor

Noel Moens

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Dorsal oblique recumbency

1. Dorsal recumbency position

The patient is placed in dorsal recumbency on the surgery table with the pelvic limb abducted and the femur perpendicular to the spine (frog-leg position).

Dog in dorsal recumbency

2. Preparation for surgery of the injured limb

Preparation of the limb is done outside of the surgical suite. The entire limb is clipped circumferentially starting from the vertebral column to just distal to the hock. The clipped hair is vacuumed.

The distal part of the limb is isolated with a non-sterile wrap in a way that allows the limb to be hung during the sterile scrub and draping.

lateral recumbency position

A general scrub is done before bringing the patient into the operating room.

lateral recumbency position

In the operating room, the patient is placed in dorsal recumbency at the end of the surgery table.

Patient positioning in dorsal recumbency
The limb is placed into a hanging limb position.

The limb is prepared for aseptic surgery by performing the final sterile surgical scrub.

Patient positioning in dorsal recumbency

3. Draping

Corner drapes are placed around the surgical site and secured with towel clamps. An assistant releases the distal limb from the hung position, while the surgeon sterility grabs and covers the distal limb with a sterile waterproof drape. A sterile additional wrap can be added or a sterile bootie can be placed. An extremity or laparotomy drape covering the entire surgery table is recommended on top of the corner drapes.

Sterile wrap

The pelvic limb is abducted and the femur is positioned perpendicular to the spine (frog-leg position).

lateral recumbency position

An iodine impregnated drape can be used to cover the exposed skin as an alternative to a stockinette or bootie. The goal of these techniques is to minimize touching the skin during the surgery.

lateral recumbency position