Current management of severe pelvic and perineal trauma
| Autor: | J.-J. Rambeaud, Julio Abba, Jérôme Tonetti, C. Broux, Jean-Luc Faucheron, Frédéric Thony, François-Xavier Ageron, Catherine Arvieux, E. Rancurel |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Emergency Medical Services Shock Hemorrhagic Perineum Pelvis Fractures Bone Pelvic embolization Sepsis medicine Emergency medical services Humans heterocyclic compounds Pelvic Bones Postoperative Care medicine.diagnostic_test business.industry Hemostatic Techniques General surgery Interventional radiology General Medicine medicine.disease Surgery Pelvic trauma Management strategy Current management Pelvis surgery Pelvic fracture Wounds and Injuries business |
| Zdroj: | Journal of visceral surgery. 149(4) |
| ISSN: | 1878-7886 |
| Popis: | Mortality associated with pelvic and perineal trauma (PPT) has fallen from 25% to 10% in the last decade thanks to progress accomplished in medical, surgical and interventional radiology domains (Dyer and Vrahas, 2006) [1]. The management strategy depends on the hemodynamic status of the patient (stable, unstable or extremely unstable). Open trauma requires specific treatment in addition to control of bleeding. All surgical centers can be confronted some day with patients with hemorrhagic PPT and for this reason, all surgeons should be familiar with the initial management. In expert centers, management of patients with severe PPT is complex, multidisciplinary and often requires several re-interventions. Obstetrical and sexual trauma, also requiring specific management, will not be dealt with herein. |
| Databáze: | OpenAIRE |
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