Management of Pelvic Trauma.
| Autor: | Baker JE; Division of GI, Trauma, and Endocrine Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, 12631 East 17th Avenue, Aurora, CO 80045, USA., Werner NL; Division of Acute Care and Regional General Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue H4/367, Madison, WI 53792, USA., Burlew CC; Division of GI, Trauma, and Endocrine Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, 12631 E 17th Avenue, Box C313, Aurora, CO 80045, USA. Electronic address: clay.burlew@cuanschutz.edu. |
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| Jazyk: | angličtina |
| Zdroj: | The Surgical clinics of North America [Surg Clin North Am] 2024 Apr; Vol. 104 (2), pp. 367-384. Date of Electronic Publication: 2023 Nov 22. |
| DOI: | 10.1016/j.suc.2023.10.001 |
| Abstrakt: | Pelvic fractures are common after blunt trauma with patients' presentation ranging from stable with insignificant fractures to life-threatening exsanguination from unstable fractures. Often, hemorrhagic shock from a pelvic fracture may go unrecognized and high clinical suspicion for a pelvic source lies with the clinician. A multidisciplinary coordinated effort is required for management of these complex patients. In the exsanguinating patient, hemorrhage control remains the top priority and may be achieved with external stabilization, resuscitative endovascular balloon occlusion of the aorta, preperitoneal pelvic packing, angiographic intervention, or a combination of therapies. These modalities have been shown to reduce mortality in this challenging population. Competing Interests: Disclosure The authors received no financial support for this publication. The authors have no commercial or financial conflicts of interest to disclose. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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