Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries

OBJECTIVE. Clinical efficacy of extraperitoneal pelvic packing for hemostasis was assessed in patients with unstable pelvic ring injuries and signs of unstable hemodynamics. MATERIAL AND METHODS. The results of treatment were analyzed in 19 patients with hemodynamically unstable pelvic ring injuries...

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Main Authors: I. M. Samokhvalov, I. V. Kazhanov, V. A. Manukovskiy, A. N. Tulupov, S. I. Mikityuk, Ya. V. Gavrishchuk
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2017-08-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/245
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author I. M. Samokhvalov
I. V. Kazhanov
V. A. Manukovskiy
A. N. Tulupov
S. I. Mikityuk
Ya. V. Gavrishchuk
author_facet I. M. Samokhvalov
I. V. Kazhanov
V. A. Manukovskiy
A. N. Tulupov
S. I. Mikityuk
Ya. V. Gavrishchuk
author_sort I. M. Samokhvalov
collection DOAJ
description OBJECTIVE. Clinical efficacy of extraperitoneal pelvic packing for hemostasis was assessed in patients with unstable pelvic ring injuries and signs of unstable hemodynamics. MATERIAL AND METHODS. The results of treatment were analyzed in 19 patients with hemodynamically unstable pelvic ring injuries. Extraperitoneal pelvic packing was applied in order to stop bleeding after mechanical pelvic stabilization. The evaluation of hemostasis efficacy was performed by using computerized helical tomography with intravenous contrast. RESULTS. The extraperitoneal pelvic packing allowed doctors to achieve stop of bleeding in 14 (73,7 %) patients. CONCLUSIONS. Complex of mechanical stabilization and extraperitoneal pelvic packing of damaged pelvic ring could be actively used in cases of severe injuries for victims in critical conditions.
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institution Kabale University
issn 0042-4625
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publisher Pavlov First Saint Petersburg State Medical University
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-256745fac00e4da993ebd4f9a50679832025-08-20T03:39:10ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252017-08-011764444710.24884/0042-4625-2017-176-4-44-47244Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuriesI. M. Samokhvalov0I. V. Kazhanov1V. A. Manukovskiy2A. N. Tulupov3S. I. Mikityuk4Ya. V. Gavrishchuk5S. M. Kirov Military Medical AcademyS. M. Kirov Military Medical AcademyI. I. Dzhanelidze St. Petersburg Research Institute of Emergency MedicineI. I. Dzhanelidze St. Petersburg Research Institute of Emergency MedicineS. M. Kirov Military Medical AcademyI. I. Dzhanelidze St. Petersburg Research Institute of Emergency MedicineOBJECTIVE. Clinical efficacy of extraperitoneal pelvic packing for hemostasis was assessed in patients with unstable pelvic ring injuries and signs of unstable hemodynamics. MATERIAL AND METHODS. The results of treatment were analyzed in 19 patients with hemodynamically unstable pelvic ring injuries. Extraperitoneal pelvic packing was applied in order to stop bleeding after mechanical pelvic stabilization. The evaluation of hemostasis efficacy was performed by using computerized helical tomography with intravenous contrast. RESULTS. The extraperitoneal pelvic packing allowed doctors to achieve stop of bleeding in 14 (73,7 %) patients. CONCLUSIONS. Complex of mechanical stabilization and extraperitoneal pelvic packing of damaged pelvic ring could be actively used in cases of severe injuries for victims in critical conditions.https://www.vestnik-grekova.ru/jour/article/view/245polytraumaunstable pelvic ring injuryextraperitoneal pelvic packing
spellingShingle I. M. Samokhvalov
I. V. Kazhanov
V. A. Manukovskiy
A. N. Tulupov
S. I. Mikityuk
Ya. V. Gavrishchuk
Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
Вестник хирургии имени И.И. Грекова
polytrauma
unstable pelvic ring injury
extraperitoneal pelvic packing
title Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
title_full Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
title_fullStr Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
title_full_unstemmed Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
title_short Experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
title_sort experience of application of extraperitoneal pelvic packing in unstable pelvic ring injuries
topic polytrauma
unstable pelvic ring injury
extraperitoneal pelvic packing
url https://www.vestnik-grekova.ru/jour/article/view/245
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AT ivkazhanov experienceofapplicationofextraperitonealpelvicpackinginunstablepelvicringinjuries
AT vamanukovskiy experienceofapplicationofextraperitonealpelvicpackinginunstablepelvicringinjuries
AT antulupov experienceofapplicationofextraperitonealpelvicpackinginunstablepelvicringinjuries
AT simikityuk experienceofapplicationofextraperitonealpelvicpackinginunstablepelvicringinjuries
AT yavgavrishchuk experienceofapplicationofextraperitonealpelvicpackinginunstablepelvicringinjuries