Pringle maneuver is digital compression of:
|C||Hepatic artery and portal vein|
|D||Renal artery and vein|
c. The bleeding is unaffected by a Pringle maneuver.
d. Usually by the time the injury is recognized, the patient has already sustained massive blood loss and is in profound shock.
e. Direct repair options for the retrohepatic IVC are complex and have dismal results. The most widely known technique is the atriocaval shunt first described by Schrock in 1968.
f. The atriocaval shunt uses either a chest tube or an endotracheal tube inserted through the right atrium to exclude the injured segment without compromising cardiac preload.