The Pringle maneuver is a surgical maneuver used in some abdominal operations. A large atraumatic hemostat is used to clamp the hepatoduodenal ligament (free border of the lesser omentum) interrupting the flow of blood through the hepatic artery and the portal vein and thus helping to control bleeding from the liver. More commonly, in the absence of soft clamp, manual compression of the hepatoduodenal ligament is performed.
The Pringle manoeuvre is very often used during liver surgery to minimize blood loss; however it can directly lead to reperfusion phenomenon in the liver. The Pringle manoeuvre is applied during closure of a vena cava injury when an atriocaval shunt is placed.
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