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



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



European Journal of Trauma and Emergency Surgery 45(3): 417-421



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. 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. Eleven articles out of seventy-seven identified publications between 2008 and 2018 met the inclusion criteria and were included in this review. 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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Accession: 065886965

Download citation: RISBibTeXText

PMID: 30284613

DOI: 10.1007/s00068-018-1018-4


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