Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Liver resection without blood transfusion.

J A Ryan1, D J Faulkner

  • 1Department of Surgery, Virginia Mason Medical Center, Seattle, Washington 98111.

American Journal of Surgery
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Shedding Light on the Origin of ^{204}Pb, the Heaviest s-Process-Only Isotope in the Solar System.

Physical review letters·2024
Same author

<math></math> Ge( <math></math> ) cross section below 70 keV measured at n_TOF CERN.

The European physical journal. A, Hadrons and nuclei·2022
Same author

Neutron Capture on the s-Process Branching Point ^{171}Tm via Time-of-Flight and Activation.

Physical review letters·2020
Same author

Role of secondary metabolites in feeding associations between a predatory nudibranch, two grazing nudibranchs, and a bryozoan.

Journal of chemical ecology·2013
Same author

Chemistry and chemical ecology of the Bahamian spongeAplysilla glacialis.

Journal of chemical ecology·2013
Same author

Chemical defense of common antarctic shallow-water nudibranchTritoniella belli eliot (Mollusca: Tritonidae) and its prey,Clavularia frankliniana rouel (Cnidaria: Octocorallia).

Journal of chemical ecology·2013
Same journal

Innovative management of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES): A meta-analysis and introduction of a new robotic approach with patient-based algorithm.

American journal of surgery·2026
Same journal

Does the risk outweigh the benefit? Clot progression, recanalization & complications of anticoagulation therapy in acute pancreatitis with concomitant splanchnic vein thrombosis.

American journal of surgery·2026
Same journal

High and low body mass index and 90-day postoperative outcomes in patients with Crohn's disease undergoing abdominal surgery.

American journal of surgery·2026
Same journal

Women with firearm injuries: A multicenter mixed-methods study.

American journal of surgery·2026
Same journal

SBAS presidential address: A surgeon-scientist's journey from haptic science to digital performance metrics.

American journal of surgery·2026
Same journal

Using Dr. Google and AI to stay informed.

American journal of surgery·2026
See all related articles

Vascular isolation prior to parenchymal division (VIP) significantly reduces blood transfusions during liver resections. This technique dramatically lowers the need for transfusions in patients undergoing complex liver surgery.

Area of Science:

  • Hepatobiliary Surgery
  • Surgical Oncology
  • Transfusion Medicine

Background:

  • Minimizing blood loss and transfusion requirements is critical in liver resections.
  • Technical advancements are continuously sought to improve outcomes in complex hepatic surgeries.

Purpose of the Study:

  • To identify technical factors that minimize blood transfusions during liver resections.
  • To evaluate the efficacy of vascular isolation prior to parenchymal division (VIP) in reducing transfusion needs.

Main Methods:

  • Review of a personal series of 58 liver resections.
  • Implementation and assessment of vascular isolation techniques, including parenchymal compression, Pringle maneuver, hepatic venous tourniquet, hilar division, hepatic vein division, and Heaney maneuver.
  • Comparison of transfusion rates between patients who underwent VIP and those who did not.

Related Experiment Videos

Main Results:

  • Vascular isolation prior to parenchymal division (VIP) was associated with a significant reduction in blood transfusions.
  • Only 6% of patients (2/34) who underwent VIP required transfusion, compared to 75% (18/24) of patients without VIP (p < 0.001).

Conclusions:

  • Vascular isolation prior to parenchymal division is an effective strategy for minimizing blood transfusions in liver resections.
  • The VIP concept, utilizing various vascular control methods, offers a significant advantage in reducing perioperative transfusion requirements.