Author/Editor		Repše, S; Gadžijev, E; Omejc, M; Juvan, R
Title		Long lasting pringle maneuver in liver injury: a case report
Type		članek
Source		In: Papastamatiou L, editor. European I.H.P.B.A. congres "Athens '95"; 1995 May 25-28; Athens. Bologna: Monduzzi editore,
Publication year		1995
Volume		str. 895-8
Language		eng
Abstract		A case of liver trauma due to a traffic accident with three-hour lasting vascular occlusion of the hepatoduodenal ligament and additional 35 minutes of normothermic liver ischameia is presented. As the first step of management of the patient in a regional hospital only inadequate tamponade of the liver injury and occlusion of the hepatoduodenal ligament with Rumel tourniquet had been performed. Transportation to our department had taken unexpectedly long time and additional vascular occlusion was needed to perform liver resection. Long duration of vascular occlusion was caused by exeptional circumstances at that time in our country. Data about management, laboratory findings and some possible mechanisms are discussed.
Descriptors		LIVER ISCHEMIA ADULT ACCIDENTS, TRAFFIC LIVER POSTOPERATIVE CARE POSTOPERATIVE COMPLICATIONS