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European Journal of Trauma and Emergency Surgery

Erschienen in:

04.10.2018 | Review Article

Pre-peritoneal pelvic packing for the management of life-threatening pelvic fractures

verfasst von: Patrizio Petrone, Martín Rodríguez-Perdomo, Aida Pérez-Jiménez, Fahd Ali, Collin Everton Montgomery Brathwaite, D’Andrea Krista Joseph

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 3/2019

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Abstract

Background

Pre-peritoneal pelvic packing (PPP) is a technique used for treating pelvic hemorrhage in patients with pelvic fractures and hemodynamic instability after a high-energy trauma representing a life-threatening situation. The aim of this study was to perform a comprehensive review of the literature.

Methods

A review of the medical literature was performed, based on the following inclusion criteria: patients sustaining pelvic fractures with hemodynamic instability and the inclusion of PPP as a tool for hemorrhage control. Articles not involving human patients, review articles, surveys, pediatric patients, hemodynamic stability, case reports, and not directly related publications; such as angiography with or without embolization, and REBOA use for hemorrhage control as a primary outcome evaluation were excluded from this search.

Results

Eleven articles out of seventy-seven identified publications between 2008 and 2018 met the inclusion criteria and were included in this review.

Conclusions

PPP is a surgical approach used in life-threatening situations due to pelvic fracture with high risk of death for exsanguination. Performed expediently, good results can be obtained with a decrease in the need for blood products, improved systolic blood pressure, and a decrease in mortality rates overall. This makes PPP an important life-saving tool.

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Titel: Pre-peritoneal pelvic packing for the management of life-threatening pelvic fractures
verfasst von: Patrizio Petrone
Martín Rodríguez-Perdomo
Aida Pérez-Jiménez
Fahd Ali
Collin Everton Montgomery Brathwaite
D’Andrea Krista Joseph
Publikationsdatum: 04.10.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 3/2019
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-018-1018-4

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Pre-peritoneal pelvic packing for the management of life-threatening pelvic fractures

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Methods

Results

Conclusions

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Springer Medizin

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Background

Methods

Results

Conclusions

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