Lithotomy

{lith-ot* ’-o-me) \\lBoq, stone; tout), a cutting]. Incision into the bladder to remove a calculus. L., Bilateral, a lithotomy performed by a curved transverse incision just in front of the rectum. L., Lateral, one in which the incision is made in front of the rectum and to the left of the raphe. L., Median or Marian, one in which the incision is made in the median line in front of the anus. L., Mediolateral, the perineal incision is made in the median line, and the prostatic incision laterally. L. Position, a position in which the patient rests on his back with the thighs flexed on the abdomen and the legs flexed on the thighs, the knees being widely abducted. L., Suprapubic, lithotomy in which the incision is made above the pubis, at a point where the bladder is not covered by peritoneum. L., Vaginal, one in which the incision is through the vaginal wall. 370