What is the Cattell-Braasch maneuver?
A right medial visceral rotation, the Cattell-Braasch maneuver, is used to expose the en- tire inframesocolic retroperitoneal organs, including the inferior vena cava (IVC), the right renal pedicle, the right iliac vessels, the duodenum, and the head of the pancreas.
What is left medial visceral rotation?
Mattox Maneuver, also known as a left medial visceral rotation, is a surgical step to explore and handle Zone 1 and 2 retroperitoneal injuries (aorta, left iliac and pelvic vessels). It starts with incising the parietal peritoneum at the white line of Toldt from the sigmoid colon to the splenic flexure.
How do you expose IVC?
The exposure of the suprarenal IVC is obtained by displacing the inferior edge of the right lobe of the liver superiorly and after performing an extended Kocher maneuver.
What is the Mattox maneuver?
Definition. Mattox Maneuver, also known as a left medial visceral rotation, is a surgical step to explore and handle Zone 1 and 2 retroperitoneal injuries (aorta, left iliac and pelvic vessels). It starts with incising the parietal peritoneum at the white line of Toldt from the sigmoid colon to the splenic flexure.
How do you do a Kocher maneuver?
The maneuver starts by incising the periduodenal peritoneum about 1 cm from the lateral duodenal margin. By gently pulling the bowel mediad the assistant puts traction on it. Lift the parietal peritoneum at the level of the mid-duodenum and incise it with scissors.
What is Kocherization of duodenum?
(kōk″ĕ-ri-zā′shŏn) [Emil Theodor Kocher] An operative maneuver to mobilize the duodenum before performing other procedures locally or before incising the duodenum, e.g., to expose the papilla of Vater.
Where is the vena cava?
The inferior vena cava (IVC) is the largest vein of the human body. It is located at the posterior abdominal wall on the right side of the aorta. The IVC’s function is to carry the venous blood from the lower limbs and abdominopelvic region to the heart.
How do you Kocherize the duodenum?
Kocherization is anterior and leftward mobilization of the second part (C loop) of the duodenum after incision of the parietal peritoneum on its right aspect; the inferior vena cava (IVC) and left renal vein (LRV) are encountered posteriorly.
Why is Kocher maneuver done?
The Kocher manoeuvre may be used to control bleeding from the inferior vena cava or aorta. It may also be used in pancreaticoduodenectomy, such as to facilitate removal of a pancreatic tumour.
How do you identify a DJ flexure?
The duodenojejunal flexure is located anterolateral to the aorta at the level of the upper border of the second lumbar vertebra. It makes a sharp turn anteroinferiorly to become the jejunum.
