Preperitoneal Pelvic Packing Prior to Pelvic Angiography in Patients with Hemodynamic Instability due to Severe Pelvic Fracture: Two Cases
Journal of Acute Care Surgery
;
(2): 34-39, 2016.
Article
in English
| WPRIM
| ID: wpr-652360
ABSTRACT
The mortality of patients with hemodynamic instability due to severe pelvic fracture is high despite multidisciplinary management. Current management algorithms for these patients emphasize pelvic angioembolization (AE) for hemorrhage control. However, a surgical procedure is often needed because AE is time-consuming and approximately only 15% of patients have arterial bleeding. Most hemorrhages from severe pelvic fracture originate from venous or bone injury. Current research demonstrates the effectiveness of preperitoneal pelvic packing (PPP) in hemorrhage control. However, there are no reports of its use in Korea. Accordingly, we present our early experiences of PPP for control of hemorrhage due to severe pelvic fracture in a trauma center in Korea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pelvis
/
Trauma Centers
/
Angiography
/
Mortality
/
Hemodynamics
/
Hemorrhage
/
Korea
Type of study:
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Acute Care Surgery
Year:
2016
Type:
Article
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