• Int Orthop · Sep 2017

    Review

    Preperitoneal pelvic packing for exsanguinating pelvic fractures.

    • Clay Cothren Burlew.
    • Department of Surgery, Denver Health Medical Center and the University of Colorado Denver, 777 Bannock Street, Denver, CO, 80204, USA. clay.cothren@dhha.org.
    • Int Orthop. 2017 Sep 1; 41 (9): 1825-1829.

    AbstractPatients with haemodynamic instability due to pelvic fracture-related bleeding can have life-threatening haemorrhage. Management options for haemorrhage control in complex pelvic fractures include bony stabilization, angioembolization, and preperitoneal pelvic packing (PPP). The indications for PPP as well as the operative technique and outcomes will be described in this review. PPP directly addresses the bony and venous bleeding of complex pelvic fractures, which results in the majority of blood loss in exsanguinating patients. As such, PPP should be considered for pelvic fracture patients who remain haemodynamically unstable despite red cell transfusion.

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