Pringle maneuver
Pronunciation: PRIN-gul man-OO-ver
Temporary occlusion of the hepatic artery and portal vein to control bleeding during liver surgery.
Full Definition
The Pringle maneuver is a surgical technique involving temporary clamping of the hepatoduodenal ligament to occlude both the hepatic artery and portal vein, thereby controlling hepatic blood flow during liver resection. Named after surgeon James Hogarth Pringle, this technique significantly reduces blood loss during parenchymal transection but must be used judiciously due to ischemic risks to the liver. Intermittent clamping protocols are often employed to minimize ischemia-reperfusion injury while maintaining hemostatic control.
Usage
Usage note: Named procedure; capitalize both words when referring to the specific technique.
In Context
- "The Pringle maneuver was applied for 15-minute intervals during the hepatectomy to control bleeding." — Operative note
- "Intermittent Pringle maneuver application prevented significant ischemic injury to the remnant liver." — Surgical case discussion