Open Madany Triangle or Modified Madany Triangle for Safe Control of Bleeding by Sutures

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added:
a month ago
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634
specialty:
General Surgery

Case description

One of the advantages of Madany triangle and its modification is that you can open it easily for proper and safe control of bleeding or bile leaks deep in this area. Safe control of bleeding sometimes necessitate suturing of the bleeding vessel especially in dangerous areas like this. Although it is a small vessel, the amount of blood loss may endanger the life of the patient. Being hypertensive during the operation is a coexisting factor in this increased amount of blood loss. So, I reoeat again,  one 10 mm port is mandatory for rapid itroducing not only the piece of gauze to compress the bleeding vessel, but also for introducing this needle with the suture material to control the bleeding. Here, I want to ask about the possibility of using laparoscopic Pringle maneuver, what's your experience with this technique? 

tags: bleeding bleeding control laparoscopic technique Madany triangle surgical technique sutures suturing

related terms: laparoscopic Pringle maneuver, surgical bleeding, bleeding laparoscopy

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