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Pringle maneuver
Temporary occlusion of the hepatic artery and portal vein to control hepatic bleeding during emergency surgery.
Full Definition
The Pringle maneuver involves temporarily clamping or manually compressing the hepatoduodenal ligament to occlude both the hepatic artery and portal vein, thereby controlling bleeding from liver injuries. Named after surgeon James Pringle, this technique is commonly used in emergency hepatic surgery and trauma cases. The maneuver can be performed by placing a vascular clamp across the hepatoduodenal ligament or by manual compression. Prolonged occlusion (beyond 20 minutes) risks hepatic ischemia, so intermittent release may be necessary during complex procedures.
Usage
Usage note: Always capitalize as it's an eponymous procedure.
In Context
- "The surgeon performed a Pringle maneuver to control massive hepatic bleeding." — Trauma surgery operative note
- "Pringle maneuver was released every 15 minutes to prevent hepatic ischemia." — Emergency hepatectomy report
Also known as
hepatic inflow occlusion
portal triad clamping
Don't confuse with
Kocher maneuver
Cattell-Braasch maneuver