J Acute Care Surg.  2016 Apr;6(1):34-39. 10.17479/jacs.2016.6.1.34.

Preperitoneal Pelvic Packing Prior to Pelvic Angiography in Patients with Hemodynamic Instability due to Severe Pelvic Fracture: Two Cases

• Jang JY
• Shim H
• Jung PY
• Kim S
• Bae KS

• KMID: 2360745
• DOI: http://doi.org/10.17479/jacs.2016.6.1.34

Abstract

The mortality of patients with hemodynamic instability due to severe pelvic fracture is high despite multidisciplinary management. Current management algorithms for these patients emphasize pelvic angioembolization (AE) for hemorrhage control. However, a surgical procedure is often needed because AE is time-consuming and approximately only 15% of patients have arterial bleeding. Most hemorrhages from severe pelvic fracture originate from venous or bone injury. Current research demonstrates the effectiveness of preperitoneal pelvic packing (PPP) in hemorrhage control. However, there are no reports of its use in Korea. Accordingly, we present our early experiences of PPP for control of hemorrhage due to severe pelvic fracture in a trauma center in Korea.

Keyword

Pelvis; Hemorrhage; Preperitoneal pelvic packing; Extraperitoneal pelvic packing; Damage control

MeSH Terms

Angiography*
Hemodynamics*
Hemorrhage
Humans
Korea
Mortality
Pelvis
Trauma Centers