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Pelvic trauma: WSES classification and guidelines.

Federico Coccolini¹, Philip F Stahel², Giulia Montori¹

¹General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.

World Journal of Emergency Surgery : WJES

|January 25, 2017

Summary

This summary is machine-generated.

Complex pelvic injuries require a multidisciplinary approach. The World Society of Emergency Surgery (WSES) classification and guidelines offer a framework for managing these dangerous trauma lesions, prioritizing patient physiology and injury anatomy.

Keywords:

ABO Angiography External fixation Guidelines Injury Internal fixation Management Mechanic Pelvic Pelvic ring fractures Preperitoneal pelvic packing REBOA Trauma X-ray

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Area of Science:

Traumatology
Emergency Surgery
Orthopedic Surgery

Background:

Complex pelvic injuries represent a significant cause of mortality and morbidity.
Existing classification systems for pelvic trauma vary, focusing on injury mechanism, anatomical patterns, or instability.
Optimal treatment necessitates consideration of hemodynamic status, pelvic ring function, and associated injuries.

Purpose of the Study:

To present the World Society of Emergency Surgery (WSES) classification of pelvic trauma.
To outline evidence-based management guidelines for pelvic trauma patients.
To emphasize a multidisciplinary and individualized approach to pelvic injury management.

Main Methods:

Review and synthesis of current literature on pelvic trauma classification and management.
Development of a standardized classification system by the WSES expert panel.
Formulation of clinical guidelines based on the proposed classification and best available evidence.

Main Results:

The WSES classification categorizes pelvic trauma based on anatomical and hemodynamic parameters.
Guidelines address initial assessment, resuscitation, surgical stabilization, and post-operative care.
The classification aims to standardize communication and treatment strategies.

Conclusions:

A unified classification and guideline system is crucial for effective pelvic trauma management.
Management should integrate patient physiology, injury anatomy, and hemodynamic stability.
The WSES guidelines provide a framework for optimizing outcomes in complex pelvic injuries.