Refractory pelvic fracture-associated hemorrhage after preperitoneal packing: now what?
نویسندگان
چکیده
منابع مشابه
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...
متن کاملPreperitoneal 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...
متن کاملPatients with pelvic fracture: what factors are associated with mortality?
BACKGROUND Pelvic fracture is one of the major injuries that lead to death in patients who sustain high-impact injuries such as road traffic accidents and falls from height. AIMS This study aims to look at the epidemiology and the significant predictors of mortality in victims with pelvic fracture presenting to the emergency department (ED) of an urban Asian city. METHODS This was a retrosp...
متن کاملPreperitoneal 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 ...
متن کاملREBOA for Refractory Pelvic Hemorrhage: Preventing Mortality in Potentially Survivable Death after Trauma
REBOA has been recently adopted for trauma patients with refractory hypotension or in traumatic arrest from hemorrhage below the diaphragm. REBOA has shown improved physiologic parameters, coronary and cerebral blood flow, and survival in hemorrhage models. The National Trauma Care System (NTCS) goal to achieve zero preventable deaths after injury may benefit with advances in REBOA. Non-compres...
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ژورنال
عنوان ژورنال: Trauma Surgery & Acute Care Open
سال: 2020
ISSN: 2397-5776
DOI: 10.1136/tsaco-2020-000629