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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...

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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Pelvic compartment syndrome: a systematic review.

Nwakile I Ojike1, Craig S Roberts, Peter V Giannoudis

  • 1Department of Orthopaedic Surgery, University of Louisville, Louisvilkle, KY 40202, USA.

Acta Orthopaedica Belgica
|April 25, 2012
PubMed
Summary

Acute pelvic compartment syndrome, often caused by traumatic pelvic hematoma, can lead to bilateral ureteral obstruction. Prompt diagnosis and surgical decompression are crucial for managing this serious condition and preventing complications like renal failure.

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Area of Science:

  • Urology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Acute pelvic compartment syndrome is a critical condition characterized by increased pressure within the pelvic space.
  • It can result from traumatic pelvic hematoma, leading to bilateral ureteral obstruction and potential renal compromise.

Purpose of the Study:

  • To systematically review the existing evidence on pelvic compartment syndrome.
  • To understand its causes, diagnostic methods, treatment, and outcomes.

Main Methods:

  • A systematic literature search was conducted using MEDLINE (OVID and PubMed) databases.
  • All identified cases of pelvic compartment syndrome were analyzed.

Main Results:

  • Nine cases of pelvic compartment syndrome were identified.
  • Motor vehicle accidents were the most common cause.
  • Diagnosis relied on clinical and radiological findings.
  • Surgical decompression was the primary treatment in 88% of cases.
  • Complications included neurological deficits (44%), muscle atrophy (33%), and renal failure (33%).

Conclusions:

  • Pelvic compartment syndrome is a severe condition comparable to other compartment syndromes.
  • High vigilance is necessary for timely diagnosis.
  • Surgical decompression is essential for effective treatment.