Related Experiment Video
Updated: Aug 6, 2026
10:32
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
[Penetrating injuries to the pelvis]
D Doll1, S Lenz, A K Exadaktylos
1Chirurgische Klinik und Poliklinik am Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675 München, Deutschland. ddoll@gmx.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|August 15, 2006
Summary
Surgeons face increasing penetrating pelvic injuries, often leading to hypovolemic shock. Prompt damage control surgery is crucial for survival in these critical vascular trauma cases.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Emergency Medicine
Context:
- Rising rates of criminality and weapon use lead to more penetrating pelvic injuries.
- These injuries frequently involve the iliac vascular axis, causing significant mortality.
- Patients often present in deep hypovolemic shock, with a high incidence of concomitant bowel injuries.
Purpose:
- To outline the challenges and surgical management strategies for penetrating pelvic injuries.
- To emphasize the critical role of damage control surgery in managing these complex cases.
Summary:
- Penetrating iliac vascular axis injuries are associated with high mortality and hypovolemic shock.
- Surgical options range from repair and ligation to shunts and grafts.
- In severe cases, common or external iliac artery ligation may be life-saving.
- Damage control surgery is essential for patient survival.
Impact:
- Highlights the need for surgeons to be prepared for high-mortality penetrating pelvic trauma.
- Underscores the importance of early damage control interventions in vascular injury management.
- Informs surgical decision-making for complex pelvic vascular and associated injuries.
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