How do you do a Pringle maneuver?

The surgeon makes one or more incisions in the stomach depending on the type of surgery. The surgeon finds the hepatic vascular pedicle, lifts it up and applies the clamp. Pringle maneuver may be applied intermittently in 10- to 20-minute cycles, allowing five minutes of blood flow (reperfusion) in between.

What is the purpose of the Pringle maneuver?

The Pringle maneuver is one technique that enables surgeons to halt hemorrhage and find the source of bleeding, allowing time for repair of the vessel. In the setting of hepatic resection of benign and malignant lesions, this maneuver can be used to assist with control of bleeding.

What is portal pedicle?

According to Couinaud’s descriptions, the three main hepatic veins separate the liver into four sectors, each of which is fed by a portal pedicle that includes a branch of the hepatic artery, portal vein and bile duct.

What is the safe ischemia time for hepatic resection?

In all, an intermittent clamping permits increase of safe ischemic time up to 322 minutes in normal livers and 204 minutes in impaired livers and is the recommended method, especially in patients undergoing complex liver resections and patients with diseased livers (20).

How long can we do Pringle maneuver?

Conclusion The upper limit of tolerance of the liver to intermittent Pringle maneuver is 120 minutes.

What does Pringle mean?

intransitive verb. : to tingle persistently or annoyingly. transitive verb. : to cause a tingling in.

How do you mobilize your liver?

Liver mobilization involves dissection of ligamentous attachments between the liver, retroperitoneum, diaphragm, IVC, and other organs such as the stomach and adrenal glands. Mobilization from the IVC requires careful division of short hepatic veins and the right inferior hepatic vein.

What is liver occlusion?

A block in blood flow to the liver. It can happen while giving chemotherapy through a catheter in the hepatic artery. Sometimes doctors use drugs or other agents to cause hepatic arterial occlusion on purpose. This block of blood flow to the liver helps kill cancer cells growing in the liver.

What is the Pringles man?

Julius Pringles
The Pringles logo is a stylized cartoon caricature of the head of a male figure (officially known as “Julius Pringles” or abbreviated as “Mr. P”) designed by Louis R.

What is the shape of a Pringle?

hyperbolic paraboloid
The saddle-shape of Pringles chips is mathematically known as a hyperbolic paraboloid.

What nationality is the name Pringle?

Scottish
Scottish and English (Northumbria): habitational name from a place near Stow Roxburghshire, formerly called Hop(p)ringle, from Middle English hop ‘enclosed valley’ + a name of Old Norse origin composed of the byname Prjónn ‘pin’, ‘peg’ + an unidentified second element.