In order to expose the coeliac axis, left renal aery, superior mesenteric aery and abdominal aoa in a case of trauma, which of the following is performed
Supracolic injuries (aoa, celiac axis, proximal superior mesenteric aery, and left renal aeries) are best approached a left medial visceral rotation. This is done by incising the lateral peritoneal reflection (white line of Toldt) beginning at the distal descending colon and extending the incision along the colonic splenic flexure, around the posterior aspect of the spleen, and behind the gastric fundus, ending at the esophagus. The left colon, spleen, pancreas, and stomach are then rotated toward the midline. Reference: Schwaz's Principles of Surgery, 10th edition, pg no: 189- 190
Left medial visceral rotation
Right medial visceral rotation
Cranial visceral rotation
Caudal cisceral rotation
Trauma