WebFirst To Cut - United States Army Institute of Surgical Research - U.S. ... WebA right-sided medial visceral rotation, the so called Cattel-Braasch maneuver, exposes the right-sided retroperitoneal structures (Figure 7). The right colon is mobilized in a technique exactly similar to what was described on the left side. Similarly, the dissection should be brought around the hepatic flexure and into the lesser sac.
Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries
WebOct 11, 2024 · A right-sided medial visceral rotation is performed by dividing the peritoneal reflection lateral to the ascending colon ... Catheter angiography can be used to identify bleeding, and this procedure can be combined with coil embolization. Superior Mesenteric Artery. The most common mechanism of injury to the SMA is penetrating trauma. This is ... WebJan 1, 2008 · 1. Place the mobilised right colon, duodenum and the head of the pancreas in the physiologic position, back to the right side of the abdomen. 2. Move the small bowel … calveley hall milton green
Trauma Laparotomy: Principles and Techniques Abdominal Key
WebJan 26, 2024 · In general, right medial visceral rotation is best for IVC injuries, and left medial visceral rotation is best for aortic and other retroperitoneal zone 1 arterial injuries. ... Thus, this procedure is not recommended unless there is active bleeding that is not contained with perihepatic packing . Only gold members can continue reading. Log In ... WebJun 30, 2024 · The intraoperative complications that were determined to be related to the medial visceral rotation approach included splenic injury (n = 23, 21.3%), one aortic injury, … WebA right medial visceral rotation (the Cattell-Braasch maneuver) The Cattell-Braasch maneuver was first introduced to expose the third and fourth portions of the duodenum (3). The maneuver begins with dissection of the hepatic flex-ure and then dividing along the … calveley primary