Kocher manoeuvre

Kocher manoeuvre is a surgical manoeuvre to expose structures in the retroperitoneum behind the duodenum and pancreas; for example, to control hemorrhage from the inferior vena cava or aorta, or to facilitate removal of a pancreatic tumour. It is named for the Nobel Prize–winning surgeon Emil Theodor Kocher. In Vascular surgery, it is described as a method to expose the AA (Abdominal aorta). It usually has been in contrast with MLRRD (midline Laparotomy and right Retroperitoneal space dissection). Kocher maneuver and MLRRD have been used for diverse cases, but they have approximately equivalent outcomes.

The peritoneum is incised at the right edge of the duodenum, and the duodenum and the head of pancreas are reflected to the opposite direction; that is, to the left.[1]

This is also the name of a manoeuvre used to reduce anterior shoulder dislocations by externally rotating the shoulder, before adducting and internally rotating it.

References

  1. Niederle, B. (2012). Surgery of the Biliary Tract: Old Problems New Methods, Current Practice. Springer Science & Business Media. p. 128. ISBN 9789400982130. Retrieved 17 January 2018.
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