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

  • Patrizio Petrone
  • Martín Rodríguez-Perdomo
  • Aida Pérez-Jiménez
  • Fahd Ali
  • Collin Everton Montgomery Brathwaite
  • D’Andrea Krista Joseph
Research Article
  • 61 Downloads

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.

Keywords

Pelvic fracture Pre-peritoneal pelvic packing Hemodynamic instability 

Notes

Compliance with ethical standards

Conflict of interest

Patrizio Petrone, Martín Rodríguez-Perdomo, Aida Pérez-Jiménez, Fahd Ali, Collin Everton Montgomery Brathwaite, and D’Andrea Krista Joseph declare that they have not conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Trauma and Acute Care Surgery, Department of SurgeryNYU Winthrop HospitalMineolaUSA

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