Vascular inflow occlusion of the liver is by
Pringle Maneuver (Total inflow occlusion) Total clamping of the hepatic pedicle, by placing an atraumatic clamp across the foramen of Winslow Appropriate sized vascular clamp or loop snare easily controls hemorrhage from either the poal vein or the hepatic aeries Inflow occlusion durations of upto 39 minutes can be tolerated safely in cirrhotic livers and possibly upto 60 minutes in early disease If Prolonged occlusion is required, intermittent clamping can be used with repeated clamping of 10-20 minutes duration, each followed by 5 minutes declamping Ref: Sabiston 20th edition Pgno : 439
Clamping the hepatic aery
Occluding the poal vein
Clamping the hepatic veins
The pringle maneuver
G.I.T