• Patrizio Petrone, Martín Rodríguez-Perdomo, Aida Pérez-Jiménez, Fahd Ali, Collin Everton Montgomery Brathwaite, and D'Andrea Krista Joseph.
• Division of Trauma and Acute Care Surgery, Department of Surgery, NYU Winthrop Hospital, 222 Station Plaza North, Suite 603, Mineola, NY, 11501, USA. patrizio.petrone@nyulangone.org.
• Eur J Trauma Emerg Surg. 2019 Jun 1; 45 (3): 417-421.

BackgroundPre-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.MethodsA 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.ResultsEleven articles out of seventy-seven identified publications between 2008 and 2018 met the inclusion criteria and were included in this review.ConclusionsPPP 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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