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The Kocher manoeuvre is a surgical procedure to expose structures in the retroperitoneum behind the duodenum and pancreas. In vascular surgery, it is described as a method to expose the abdominal aorta. It usually has been in contrast to midline laparotomy and right retroperitoneal space dissection. These two procedures have been used for ...
Bleeding from a blood vessel or structure in the retroperitoneal such as the aorta or inferior vena cava into the retroperitoneal space can lead to a retroperitoneal hemorrhage. Retroperitoneal fibrosis; Retroperitoneal lymph node dissection; It is also possible to have a neoplasm in this area, more commonly a metastasis; or very rarely a ...
Retroperitoneal lymph node dissection (RPLND) is a surgical procedure to remove abdominal lymph nodes. It is used to treat testicular cancer , as well as to help establish the exact stage and type of the cancer.
The upper portion is the abdominal cavity, and it contains the stomach, liver, pancreas, spleen, gallbladder, kidneys, small intestine, and most of the large intestine. The lower portion is the pelvic cavity, and it contains the urinary bladder , the rest of the large intestine (the lower portion), and the internal reproductive organs .
The portion of the retroperitoneum that is posterior wall of the abdomen and superior to the iliac vessels is of importance in gynecological oncology. [1] This is the region where para-aortic and paracaval lymphadenectomies are done. The lateral boundary of the retroperitoneum is defined by the ascending and descending colon.
Retroperitoneal bleeding is an accumulation of blood in the retroperitoneal space. Signs and symptoms may include abdominal or upper leg pain , hematuria , and shock . It can be caused by major trauma or by non-traumatic mechanisms.
During an exploratory laparotomy, a large incision is made vertically in the middle of the abdomen to access the peritoneal cavity, then each of the quadrants of the abdomen is examined. [1] Various other maneuvers, such as the Kocher maneuver, or other procedures may be performed concurrently. Overall operative mortality ranges between 10% and ...
The kidney position is much like the lateral position except the patient's abdomen is placed over a lift in the operating table that bends the body to allow access to the retroperitoneal space. A kidney rest is placed under the patient at the location of the lift. [2] Sims' position The Sims' position is a variation of the left lateral position.