Open AccessExtra-peritoneal pressure packing without external pelvic fixation: A life-saving stand-alone surgical treatment
Author(s) -
Guy Ron,
D Epstein,
Peleg BenGalim,
Yoram Klein,
Alexander Kaban,
Shaul Sagiv
Publication year - 2015
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.166586
Subject(s) - medicine , pelvic fracture , surgery , tamponade , trauma center , hemodynamics , resuscitation , mortality rate , central venous pressure , external fixation , pelvis , blood pressure , retrospective cohort study , radiology , anesthesia , heart rate , prosthesis
Traditional maneuvers aim to decrease retroperitoneal bleeding in hemodynamically unstable multi-trauma patients with unstable pelvic fractures, are reportedly successful in approximately only 50%. The life-saving effect of extra-peritoneal pressure packing (EPPP) is based on direct compression and control of both venous and arterial retroperitoneal bleeders. This study describes the safety and efficacy of emergent EPPP employment, as a stand-alone surgical treatment, that is, carried out without external pelvic fixation or emergent angiography.