Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries-Reference-Cited by-同舟云学术

Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries

Published:2017-08-28 Issue:4 Volume:176 Page:44-47
ISSN:2686-7370
Container-title:Grekov's Bulletin of Surgery
language:
Short-container-title:VESTNIK KHIRURGII IMENI I.I.GREKOVA

Author:

Samokhvalov I. M.¹,Kazhanov I. V.¹,Manukovskiy V. A.²,Tulupov A. N.²,Mikityuk S. I.¹,Gavrishchuk Ya. V.²

Affiliation:

1. S. M. Kirov Military Medical Academy

2. I. I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine

Abstract

OBJECTIVE. Clinical efficacy of extraperitoneal pelvic packing for hemostasis was assessed in patients with unstable pelvic ring injuries and signs of unstable hemodynamics. MATERIAL AND METHODS. The results of treatment were analyzed in 19 patients with hemodynamically unstable pelvic ring injuries. Extraperitoneal pelvic packing was applied in order to stop bleeding after mechanical pelvic stabilization. The evaluation of hemostasis efficacy was performed by using computerized helical tomography with intravenous contrast. RESULTS. The extraperitoneal pelvic packing allowed doctors to achieve stop of bleeding in 14 (73,7 %) patients. CONCLUSIONS. Complex of mechanical stabilization and extraperitoneal pelvic packing of damaged pelvic ring could be actively used in cases of severe injuries for victims in critical conditions.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference9 articles.

1. Ankin L. N., Pipiya G. G., Ankin N. L. Lechenie povrezhdenii taza u postradavshikh s izolirovannoi i sochetannoi travmoi // Vestn. travmatol. i ortop. 2007. № 3. S. 32-35.

2. Samokhvalov I. M., Borisov M. B., Kazhanov I. V., Denisenko V. V., Mikityuk S. I., Grebnev A. R., Reva V. A. Osobennosti pervogo etapa taktiki mnogoetapnogo khirurgicheskogo lecheniya (Damage control) pri nestabil'nykh perelomakh taza // Skoraya med. pomoshch'. 2016. № 3. S. 39-45.

3. Tyurin M. V., Kazhanov I. V., Manukovskii V. A., Ganin V. N., Denisov A. V. Obosnovanie khirurgicheskoi taktiki v ostrom periode travmaticheskoi bolezni pri nestabil'nykh travmakh taza // Vestn. nats. mediko-khir. tsentra im. N. I. Pirogova. 2012. № 3. S. 21-31.

4. Burlew C. C., Moore E. E., Smith W. R. et al. Preperitoneal pelvic packing / external fixation with secondary angioembolization: optimal care for life-threatening hemorrhage from unstable pelvic fractures // J. Amer. Coll. Surg. 2011. Vol. 212, № 4. P. 628-635.

5. Chiara O., Fratta E., Mariani A. et al. Efficacy of extra-peritoneal pelvic packing in hemodynamically unstable pelvic fractures, a Propensity Score Analysis World // J. Emerg. Surg. 2016. Vol. 11. P. 22.

Cited by 3 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Features of surgical tactics for injuries of abdominal and retroperitoneal major veins (review of literature);Grekov's Bulletin of Surgery;2021-08-20

2. Features of surgical tactics for injuries of abdominal and retroperitoneal major arteries (review of literature);Grekov's Bulletin of Surgery;2021-06-02

3. Analysis of hemostatic changes in haemodilution and blood loss;Anesteziologiya i Reanimatologiya;2020