What are the zones of retroperitoneum?

What are the zones of retroperitoneum?

To categorize the management of RPH, the retroperitoneum may be divided into three zones. Zone 1 (central) extends from the esophageal hiatus to the sacral promontory. Zone 2 (lateral) extends from the lateral diaphragm to the iliac crest. Zone 3 (pelvic) is confined to the retroperitoneal space of the pelvic bowl.

What are the retroperitoneal zones of injury?

The retroperitoneum is divided into three main zones of injury: zone I is the central/midline retroperitoneum, zone II encompasses the perinephric space, and zone III comprises the pelvic retroperitoneum. Treatment of retroperitoneal hematomas varies depending on the anatomical location and mechanism of injury.

Where is the most common location for a retroperitoneal hematoma to occur?

Zone III encompasses the pelvic retroperitoneum and is the most common location of retroperitoneal hemorrhage, frequently in association with pelvic fractures (,43,,44,,48).

Is the IVC retroperitoneal?

The retroperitoneal space includes major vascular structures such as the aorta, inferior vena cava, and the common iliacs.

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.

What is the name of given for retroperitoneal bleeding?

Retroperitoneal bleeding
Other names Retroperitoneal hematoma, retroperitoneal hemorrhage
Transverse section, showing the relations of the capsule of the kidney. (Peritoneum is labeled at center right. Retroperitoneal space is behind peritoneum.)
Specialty General surgery

Where are retroperitoneal lymph nodes located?

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Your retroperitoneal lymph nodes are found in the area between your kidneys along a vein (your vena cava) and an artery (your aorta) (see Figure 1). Your vena cava carries blood to your heart. Your aorta carries blood from your heart to the rest of your body.

Is the Oesophagus retroperitoneal?

Retroperitoneal organs lie behind the posterior sheath of the peritoneum and include the aorta, esophagus, second and third parts of the duodenum, ascending and descending colon, pancreas, kidneys, ureters, and adrenal glands.

What is Zone 1 of the neck?

Understanding the anatomy of the neck, especially the location of important structures, is essential to providing optimal care. Zone 1: This is the area between the clavicles and the cricoid cartilage.

What is Mattox maneuver?

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.

How much blood can the retroperitoneal space hold?

Injury to abdominal organs, especially those in the retroperitoneal space, can bleed as the space can hold a great deal of blood, up to four liters.

What are small retroperitoneal lymph nodes?

The lymph nodes in the back of the abdomen are called retroperitoneal lymph nodes. An RPLND is also called a retroperitoneal lymphadenectomy. The lymph nodes in the retroperitoneum lie around the large blood vessels at the back of the abdomen. The lymph nodes are part of the lymphatic system.