Question
A 60-year-old man is attacked with a baseball bat and sustains multiple blows to the abdomen. He presents to the emergency department in shock and is brought to the operating room (OR), where a laparotomy reveals massive hemoperitoneum and a stellate fracture of the right and left lobes of the liver. Immediately after packing the liver. Which of the following techniques should be used next?
| A. | Ligation of right hepatic artery |
| B. |
Suture ligation |
| C. |
Pringle’s maneuver |
| D. |
Peritoneal lavage |
Show Answer
|
Correct Answer � C Explanation |
 |
Answer- C Pringle’s maneuver
The initial operative step is packing of the liver to obtain control of the bleeding. A Pringle maneuver can then be performed next.
In this procedure, the proper hepatic artery is compressed between one finger inserted into the foramen omentalis (Winslow, epiploic) and another anterior to the free edge of the lesser (gastrohepatic omentum)
