首页|Internal iliac artery ligation as a damage control method in hemodynamically unstable pelvic fractures:A systematic review of the literature

Internal iliac artery ligation as a damage control method in hemodynamically unstable pelvic fractures:A systematic review of the literature

扫码查看
原文链接
  • NETL
  • NSTL
  • 万方数据
Purpose:Internal iliac artery ligation(IIAL)has been used as a damage control procedure to treat he-modynamically unstable pelvic fracture for many years.However,there is ongoing debate regarding the effectiveness and safety of this hemostatic method.Therefore,we performed a systematic literature review to assess the efficacy and safety of IIAL for pelvic fracture hemostasis.Methods:Three major databases,PubMed,Embase,and Google Scholar,were searched to screen eligible original studies published in English journals.Two reviewers independently read the titles,abstracts,and full texts of all literature.Articles were included if they reported the use and effects of IIAL.Results:A total of 171 articles were initially identified,with 22 fully meeting the inclusion criteria.Among the analyzed cases,up to 66.7％of patients had associated abdominal and pelvic organ injuries,with the urethra being the most frequently injured organ,followed by the bowel.The outcomes of IIAL for achieving hemostasis in pelvic fractures were found to be satisfactory,with an effective rate of 80％.Hemorrhagic shock was the leading cause of death,followed by craniocerebral injury.Notably,no reports of ischemic complications involving the pelvic organs due to IIAL were found.Conclusion:IIAL has a good effect in treating hemodynamically unstable pelvic fracture without the risk of pelvic organ ischemia.This procedure should be considered a priority for hemodynamically unstable pelvic fracture patients with abdominal organ injuries.

Internal iliac arteryLigationEmbolizationPelvic fractureLaparotomy

Hui Li、Tao Ai、Guang-Bin Huang、Jun Yang、Gong-Bin Wei、Jin-Mou Gao、Ping He、Xue-Mei Cao、Ding-Yuan Du

展开 >

Department of Trauma Surgery,Chongqing University Central Hospital,Chongqing Emergency Medical Center,Chongqing,400014,China

Joint Fund of Chongqing Municipal Science and Technology Bureau and Health Bureau,ChinaNational Trauma Regional Medical Center(Jointly Constructed by the Commission and the Municipality)Major Research ProjectResearch Project of Chongqing Talent Program

2022QNXM025jjzx2021-gjcsqyylzx01cstc2022ycjhbgzxm0245

2024

10.1016/j.cjtee.2024.07.004

中华创伤杂志(英文版)
中华医学会

中华创伤杂志(英文版)

CSTPCD
影响因子：0.608
ISSN：1008-1275
年,卷(期)：2024.27(5)