Deprecated: mysql_connect(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /home/bodyonline/thebodyonline.net/body_view.php on line 56

Deprecated: Function mysql_numrows() is deprecated in /home/bodyonline/thebodyonline.net/body_view.php on line 95

Deprecated: Function mysql_numrows() is deprecated in /home/bodyonline/thebodyonline.net/body_view.php on line 103

Deprecated: Function mysql_numrows() is deprecated in /home/bodyonline/thebodyonline.net/body_view.php on line 126
  Back  
  Thorax  
  Abdomen  
  Pelvis/Perineum  
  Upper Limb  
  Lower Limb  
  Radiology  
  Self-Test  
portal vein in hepatoduodenal ligament
Back
Forward
The TIPS (transjugular intrahepatic portosystemic shunt) procedure can be used to relieve portal hypertension by creating a direct passageway in the liver from the portal vein to a hepatic vein. A tube is inserted into the right internal jugular vein --> right brachiocephalic vein --> SVC --> right atrium --> IVC --> hepatic vein --> substance of liver --> through branch of portal vein. This procedure is favorable for patients eligible for liver transplant because it does not leave behind abdominal adhesions.

The Pringle maneuver involves compressing the hepatoduodenal ligament and the structures therein (portal vein, proper hepatic artery anterior to the portal vein, and the common bile duct to the right of the proper hepatic artery) and can tell the surgeon whether the bleeding in the liver is due to portal vein/hepatic artery damage or a tributary of the IVC (hepatic veins). In the latter case, bleeding will not stop.
No videos are associated with this image.