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SELECTIVE VASCULAR OCCLUSION WITH STAGED HEMIHEPATECTOMY FOR BLUNT LIVER TRAUMA
Author(s) -
Martin Christopher J.,
Cox Michael R.
Publication year - 2000
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1046/j.1440-1622.2000.01889.x
Subject(s) - medicine , surgery , blunt , resuscitation , intensive care unit , ligation , occlusion , anesthesia
Background : A 23‐year‐old man with extensive blunt trauma to the right lobe of the liver in whom adequate haemostasis could not be achieved by selective suturing and packing was encountered. Contributing factors to poor haemostasis included massive transfusion, hypothermia and acidosis. Methods : Hepatic haemostasis was achieved by selective intrahepatic ligation of the right hepatic pedicle and packing. Results : After resuscitation and stabilization in the intensive care unit, a right hemihepatectomy was performed 14 h later. Conclusions : The present case describes a modification of the Pringle manoeuvre, termed ‘selective Pringle manoeuvre’. This technique is a useful additional strategy for the management of uncontrollable bleeding in massive hepatic trauma.