The HK Surgical Midine Positioning Pillow (#PP-M / Wedge) is a wedge-shaped surgical positioning pillow that helps approximate the anatomic position with the patient in the lateral decubitus position. An essential tool for outer thigh liposuction procedures.
In the lateral decubitus position, the midine minimizes the pseudobulge by abducting the upper-most thigh. In fact, the trochanteric pseudobulge can be completely eliminated by using the midine and also rotating the femur anteriorly and medially, and pointing the toes of that foot in a "pigeon-toed" fashion. This maneuver causes the trochanteric tubercle to be displaced anteriorly, and medially. By using the thigh midine in this fashion, the surgeon can reduce the risk of creating a trochanteric depression due to excessive liposuction.
When using the thigh midine, the patient should be in the lateral decubitus position, with both legs straight. Lifting the uppermost thigh, the midine is placed between the thighs. 2" wide paper tape may be used to secure the midine to the surgical table and prevent it from sliding. A cloth towel placed over the top of the midine provides additional comfort for the patient's thigh and leg.