Bariatric Reverse Trendelenburg Straps: Usage and Benefits

May 9, 2023

Surgical procedures that require Reverse Trendelenburg positioning, where the table is tilted to position the patient’s head higher than their feet, can create significant challenges for bariatric patients. This position causes stress on a patient’s body due to increased pressure on the chest and lungs, which can lead to breathing difficulties and other complications. 

As a result, medical professionals and surgery teams use specific products to help avoid potential complications. Bariatric Trendelenburg Straps offer a secure option for surgeons and patients and are critical for surgical procedures involving bariatric patients.

What is a Bariatric Reverse Trendelenburg Strap?

Bariatric Reverse Trendelenburg Straps, also called Bariatric Nissen Straps, are a crucial strapping device used during Reverse Trendelenburg positioning for larger patients. These straps typically have a weight capacity of up to 800 lbs., and some models can even accommodate up to 1,000 lbs. They can be attached to an operating table to ensure that the patient remains safe and secure throughout the procedure. 

This also helps the surgeon maintain proper access to the surgical area. By enabling surgeons to work efficiently and accurately, the straps can help enhance the speed and success of the procedure.

Enhancing Safety and Comfort 

Straps such as the KYRA® Bariatric Nissen Straps offer the support that larger patients require during various surgical procedures. This includes Nissen Fundoplication, which is a common surgery used to treat gastroesophageal reflux disease (GERD). The broad, extensive pads, for example, are designed to provide comfortable support and prevent any further stress on the patient's body. 

Another notable feature of the strap is its integral clamps, which attach to the side rail of the surgical table to ensure the strap remains steadfast in its position throughout the procedure. This helps eliminate any risk of the patient falling and keeps them properly positioned. 

Beyond Positioning Straps 

There are a variety of complementary products that can be used during Reverse Trendelenburg positioning to ensure maximum safety, stability, and support for the patient while reducing the risk of injury. These products include:

  • Pivoting Armboards to help facilitate better arm positioning and optimize surgical accessibility.
  • Foot Extenders to support the lower body position and improve blood flow to the feet.
  • Gel Head Positioner Donuts to help reduce the risk of pressure injuries or cranial nerve injuries caused by repeated contact with the head holder.  

This list is, of course, not all-encompassing. View the Reverse Trendelenburg Patient Positioning Guide to explore a larger selection of these complementary devices. By using these products in addition to Nissen straps, healthcare professionals can significantly improve patient outcomes. 

AliMed offers a range of products for use during bariatric surgery designed to ensure bariatric surgical patients are comfortably and properly supported throughout their procedure, helping create a safe environment for both the patient and the surgical team.   


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