Preperitoneal pelvic packing.

J Visc Surg

Service de chirurgie viscérale, hôpital d'instruction des armées Sainte-Anne, BP 600, 83800 Toulon cedex 9, France; École du Val-de-Grâce, 1, place Alphonse-Laveran, 75230 Paris cedex 05, France.

Published: December 2017

Severe pelvic traumatisms are associated with elevated mortality because of the high risk of exsanguination from multiple sources of bleeding. Treatment should encompass resuscitation, bone stabilization and hemorrhage control by arterio-embolization or surgery. Pre-peritoneal packing has been described in hemodynamically unstable patients who need damage control. The surgical technique of this simple and effective procedure is fully described by the authors with some complementary useful technical advices.

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http://dx.doi.org/10.1016/j.jviscsurg.2017.08.006DOI Listing

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