Retroperitoneal Pelvic Packing of the Pelvic Bleeding (Clinical Observation)

A clinical example of severe intra-pelvic bleeding in a patient S. 47 years old, with closed unstable pelvic fractures as a result of catatrauma, is presented for consideration. Laparotomy was performed with revision of the abdominal organs, stopping of intra-pelvic bleeding by retroperitoneal plugging of the pelvic tissue from a separate suprapubic access. Sufficient hemostasis was obtained with massive bleeding with two cardiac arrests. A clinical example demonstrates the effectiveness of retroperitoneal pelvic tamponade with ongoing massive bleeding. Analysis of tactical error with premature relaparotomy after 12 hours confirms the need to comply with the rules of the “damage control” tactic. Retroperitoneal tamponade of the pelvic fiber may be the only possible effective way to stop massive pelvic bleeding with unstable pelvic fractures.