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The Pringle manoeuvre is used during liver surgery and in some cases of severe liver trauma to minimize blood loss. [1] For short durations of use, it is very effective at reducing intraoperative blood loss. [2] The Pringle manoeuvre is applied during closure of a vena cava injury when an atriocaval shunt is placed. [citation needed]
James Hogarth Pringle (born 26 January 1863 in Parramatta, Australia – died 24 April 1941 in Killearn, Scotland) was an Australian-born British surgeon in Glasgow, who made a number of important contributions to surgical practice. He is most famous for the development of the Pringle manoeuvre, a technique still used in surgery today.
Manual compression of the hepatoduodenal ligament during surgery is known as the Pringle manoeuvre. [ citation needed ] The cystoduodenal ligament is also found in the lesser omentum and is distinct from both the hepatoduodenal and hepatogastric ligaments .
Under- or over-packing of the liver can cause adverse outcomes, and if the bleeding cannot be controlled through this surgical method, the Pringle manoeuvre is an alternate technique that can be utilized temporally. [4]
The Pringle manoeuvre is usually performed during a hepatectomy to minimize blood loss - however this can lead to reperfusion injury in the liver due to Ischemia.
James Hogarth Pringle (1863–1941), Australian-born surgeon in Glasgow, Scotland, famous for the development of the Pringle manoeuvre; James E. Pringle (born 1949), British astrophysicist, professor of theoretical astronomy at the University of Cambridge; James Scott Pringle (1937-2024), American botanist and historian working in Canada
Solid organ injury (i.e., spleen, kidney) should be dealt with by resection. When dealing with hepatic hemorrhage a number of different options exist such as performing a Pringle maneuver that would allow for control of hepatic inflow. [7] Surgeons can also apply manual pressure, perform hepatic packing, or even plugging penetrating wounds.
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