What is the Cattell Braasch maneuver?
Table of Contents
What is the Cattell Braasch maneuver?
A right medial visceral rotation, the Cattell-Braasch maneuver, is used to expose the entire 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 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.
Which of the following surgical maneuvers mobilizes the descending colon to the midline to expose the abdominal aorta?
TheMattox maneuver
TheMattox maneuver is mobilization of the descending colon to the midline to expose the abdominal aorta. 1.
How do you expose aorta?
Exposure of the upper abdominal aorta requires circumferential dissection of the left renal vein to its junction with the inferior vena cava so that it can be widely displaced as needed. Caudal retraction of the left renal vein facilitates the exposure of the origin of the renal arteries.
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.
Where is the superior mesenteric artery?
Where is the superior mesenteric artery? The superior mesenteric artery is in the midsection of the digestive tract (midgut). It originates from the aorta between the celiac artery and renal arteries. The celiac artery supplies blood to the liver, spleen and stomach.
How do you do a Hartmann’s procedure?
Approach
- Obtain controlled entry into the abdomen.
- Perform lysis of adhesions as needed to obtain good exposure.
- Culture any purulent fluid if present.
- Position the abdominal wall retractor.
- Explore the abdomen to assess for other undiagnosed pathology.
How serious is aortic aneurysm surgery?
Aneurysm surgery is very serious if performed after an aneurysm rupture. The chance of survival after surgery for a ruptured aortic aneurysm is 50% to 70%. The greatest threat comes from complications of the rupture, including kidney failure. But with no treatment at all, the rupture will certainly be deadly.
How long does aortic aneurysm surgery take?
Surgery for aortic aneurysm replacement may take 2 to 4 hours. Most people recover in the intensive care unit (ICU) after the surgery.
What is a Duodenoduodenostomy?
duodenoduodenostomy (plural duodenoduodenostomies) (surgery) anastomosis for the purpose of bypassing an obstructed segment of duodenum.
What is Kocherized?
(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.
What is SMA surgery?
Term explanation. Duodenojejunostomy is a surgical procedure for superior mesenteric artery syndrome, which includes the anastomosis between the proximal duodenum and a proximal loop.
What happens if the superior mesenteric artery is blocked?
In mesenteric ischemia, a blockage in an artery cuts off blood flow to a portion of the intestine. Mesenteric ischemia (mez-un-TER-ik is-KEE-me-uh) occurs when narrowed or blocked arteries restrict blood flow to your small intestine. Decreased blood flow can permanently damage the small intestine.
Why is a Hartmann’s procedure done?
Hartmann’s procedure is often an emergency operation to remove an obstruction, persistent infection or cancer before it can spread. When a portion of the bowel is removed under these conditions, the remaining portions can’t be safely reattached at that time.
