Pelvic Bone Fracture with Preperitoneal Hemorrhage

Predicting major hemorrhage in patients with pelvic fracture.

BACKGROUND Pelvic fractures can be an important source of major hemorrhage in victims of blunt trauma. However, no rapid and reliable noninvasive method exists for predicting which subjects will have major hemorrhage. The objective of this study is to use information available upon presentation to the trauma center to develop a clinical prediction rule to identify subjects with pelvic fracture ...

[Severe pelvic fracture with rectal rupture and fatal hemorrhage].

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...

Preperitoneal pelvic packing in patients with hemodynamic instability due to severe pelvic fracture: early experience in a Korean trauma center.

BACKGROUND The mortality rate of patients with hemodynamic instability due to severe pelvic fracture is reported to be 40-60% despite a multidisciplinary treatment approach. Angioembolization and external fixation of the pelvis are the main procedures used to control bleeding in these patients. Several studies have shown that preperitoneal pelvic packing (PPP) is effective for hemorrhage contro...

Preperitoneal inguinal hernia repair during pelvic surgery.

OBJECTIVES We report our experience with posterior preperitoneal prosthetic herniorrhaphy for inguinal hernia in patients undergoing concomitant pelvic surgery for both benign and malignant urological pathologies. METHODS 116 patients with either unilateral or bilateral inguinal hernia underwent posterior preperitoneal prosthetic herniorrhaphy during a pelvic operation for various urological ...