Efficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a Propensity Score Analysis

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Efficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a Propensity Score Analysis

BACKGROUND An option for emergency control of pelvic hemorrhage is Extra-peritoneal Pelvic Packing (EPP), which addresses the retroperitoneal source of exsanguination in pelvic fractures. The aim of this study was to demonstrate the efficacy of early EPP in reducing mortality due to hemorrhage from pelvic fractures, and to evaluate the impact of packing on transfusion requirements within the fi...

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[Patients with hemodynamic unstable pelvic fractures in extremis: pelvic packing or angiography?].

The multidisciplinary management of patients with pelvic trauma has improved prognosis, but mortality is still very high. The appropriate treatment strategy remains controversial, especially regarding the control of bleeding in patients whose clinical situation is extreme by using angiography or pelvic packing. We propose using a tool of evidence-based medicine (CAT) the benefit of the completi...

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Malgaigne Pelvic Fractures in Children: An Unusual, Unstable Fracture Pattern of Pelvic Fractures

The spectrum of patients with pelvic fractures ranges from patients with isolated, simple fractures to critically injured patients with multiple other life-threatening injuries. This article reviews the literature available, especially with reference to the `Malgaigne Fractures in Children', presenting it in a concise form. Categories: Pediatric Surgery, Pediatrics, Orthopedics

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Preperitoneal pelvic packing/external fixation with secondary angioembolization: optimal care for life-threatening hemorrhage from unstable pelvic fractures.

BACKGROUND Preperitoneal pelvic packing/external fixation (PPP/EF) for controlling life-threatening hemorrhage from pelvic fractures is used widely in Europe but has not been adopted in North America. We hypothesized that PPP/EF arrests hemorrhage rapidly, facilitates emergent operative procedures, and ensures efficient use of angioembolization (AE). STUDY DESIGN In 2004 we initiated a PPP/EF...

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The functional outcome of surgically treated unstable pelvic ring fractures by open reduction, internal fixation

 Abstract Background: Unstable Pelvic fracture, a result of high energy antero-posterior compression injury, has been managed based on internal fixation and open reduction. The mode of fixation in Unstable Pelvic fracture has, however, been a subject of controversy and some authors have proposed a need to address the issue of partial breach of the pelvic ring elements in these injuries. This st...

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ژورنال

عنوان ژورنال: World Journal of Emergency Surgery

سال: 2016

ISSN: 1749-7922

DOI: 10.1186/s13017-016-0077-2