Pringle Maneuver Periprocedural Care

Updated: May 05, 2022
  • Author: Todd A Nickloes, DO, FACOS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Periprocedural Care


An atraumatic vascular clamp, such as a Satinski or curved Debakey clamp, can be used for placement across the portal triad to occlude the inflow. Ligation equipment or an electrocautery may be useful for opening the lesser sac/omentum.


Patient Preparation

A general anesthetic and an abdominal laparotomy are the norm, though this maneuver is amenable to laparoscopic application. Open abdominal exploration is most appropriate for abdominal trauma. However, elective liver surgery may be performed via laparotomy or laparoscopy.

The patient should be kept in the supine position.


Monitoring & Follow-up

Postoperative aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin levels are not routinely measured after trauma-related surgery. However, after liver resection and living donor hepatectomy, these values may be followed to ensure recovery of liver function. [9]