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INTRAHOSPITAL EMERGENCY MEDICAL CARE FEATURE OF THE FIRST STAGE OF DAMAGE CONTROL SURGERY TACTICS IN UNSTABLE PELVIS FRACTURES

https://doi.org/10.24884/2072-6716-2016-17-3-39-45

Abstract

The analysis of clinical observations 148 patients of the associated trauma, were hospitalized at the clinic of military surgery, Military Medical Academy. Of these, 83 patients were the group of clinical observations, in which treatment is the concept of damage control surgery, 65 - a group of retrospective analysis of conservative treatment. Evaluated the effectiveness of the method extraperitoneal and transperitoneal pelvic tamponade, and especially the incidence of deaths and complications in the application of different treatments, including endovascular methods of hemostasis at pelvis bleeding.

About the Authors

I. M. Samohvalov
Military Medical Academy named after S.M. Kirov
Russian Federation


M. B. Borisov
Military Medical Academy named after S.M. Kirov
Russian Federation


I. V. Kazhanov
Military Medical Academy named after S.M. Kirov
Russian Federation


V. V. Denisenko
Military Medical Academy named after S.M. Kirov
Russian Federation


S. I. Mikityuk
Military Medical Academy named after S.M. Kirov
Russian Federation


A. R. Grebnev
Military Medical Academy named after S.M. Kirov
Russian Federation


V. A. Reva
Military Medical Academy named after S.M. Kirov
Russian Federation


References

1. Анкин Л.Н., Пипия Г.Г., Анкин Н.Л. Лечение повреждений таза у пострадавших с изолированной и сочетанной травмой // Вестн. травматологии и ортопедии. - 2007. - № 3. - С. 32-35.

2. Дятлов М.М. Неотложная и срочная помощь при тяжелых травмах таза: руководство для врачей. - Гомель: ИММС НАН Беларуси, 2003. - 296 с.

3. Соколов В.А. Множественные и сочетанные травмы. - М.: ГЭОТАР-Медиа, 2006. - 512 с.

4. Гуманенко Е.К., Ганин В.Н., Борисов М.Б. // Военно-полевая хирургия: Национальное руководство / под ред. И.Ю. Быкова. - М.: ГЭОТАР-Медиа, 2008. - С. 622-654.

5. Шаповалов В.М., Гуманенко Е.К., Дулаев А.К., Дыдыкин А.В. Хирургическая стабилизация таза у раненых и пострадавших. - СПб.: Морсар АВ, 2000. - 239 с.

6. Pohlemann T., Gansslen A., Stief C.H. Complex injuries of the pelvis and acetabulum // Orthopade. - 1998. - Vol. 27, No 1. - Р. 32-44.

7. Smith W.R., Moore E.E., Osborn P. et al. Retroperitoneal packing as a resuscitation technique for hemodynamically unstable patients with pelvic fractures: report of two representative cases and a description of technique // J. Trauma. - 2005. -Vol. 59, No 6. - Р. 1510-1514.

8. Krieg J.C., Mohr M., Ellis T. J. et al. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: a clinical trial // J. Trauma.- 2005. - Vol. 59, No 3. - Р. 659-664.

9. Lee C., Porter K. The prehospital management of pelvic fractures // Emerg. Med. J. - 2007. - Vol. 24. - Р. 130-133.

10. Prasarn M., Horodyski M., Conrad B. et al. Comparison of external fixation versus the trauma pelvic orthotic device on unstable pelvic injuries: A cadaveric study of stability // J. Trauma Acute Care Surg. - 2012. - Vol. 72, No 6. -Р. 1671-1675.

11. Martinelli T., Thony F., Declety P. et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures // J. Trauma. - 2010. - Vol. 68, No 4. - Р. 942-948.

12. Tile M., Helfet D.L., Kellam J.F. Fractures of the pelvis and acetabulum. - 3 ed. - Philadelphia etc.: Lippencott Williams-Wilkins, 2003, 75 p.

13. Самохвалов И.М., Мануковский В.А., Ганин В.Н. и др. Внебрюшинная тампонада и ангиоэмболизация при нестабильной травме таза: клинический случай и обзор литературы // Неотложная мед. помощь. - 2012. - № 2. -С. 66-72.

14. Козлов И.З., Горшков С.З. Повреждения живота. - М.: Медицина, 1988. - 224 c.


Review

For citations:


Samohvalov I.M., Borisov M.B., Kazhanov I.V., Denisenko V.V., Mikityuk S.I., Grebnev A.R., Reva V.A. INTRAHOSPITAL EMERGENCY MEDICAL CARE FEATURE OF THE FIRST STAGE OF DAMAGE CONTROL SURGERY TACTICS IN UNSTABLE PELVIS FRACTURES. EMERGENCY MEDICAL CARE. 2016;17(3):39-45. (In Russ.) https://doi.org/10.24884/2072-6716-2016-17-3-39-45

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