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Executive Editor:
Peter Trafton
Authors: Rahul
Extraperitoneal pelvic packing
Banerjee, Peter Brink,
Matej Cimerman, Tim
1 Packing versus angio-embolization
Pohlemann, Matevz
Tomazevic In an emergency situation the decision whether to go for
packing or angiography with embolization depends on
Pelvic ring - several factors.
Acute pelvic The condition of the patient
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12/31/2018 Pelvic ring - Reduction & Fixation - Extraperitoneal pelvic packing - AT - AO Surgery Reference
3 Skin incision
Horizontal incision
(“Pfannenstiel”)
A Pfannenstiel incision can
be used when there is no
obvious bleeding in the
abdomen.
Perform a horizontal incision
about 2 fingerbreadths
proximal to the pubic tubercle.
The length of this incision is typically 5-10 cm. It can be
extended further laterally on one or both sides depending
on the needed exposure.
Vertical incision
There may be a need for
extension of the incision
cranially in case of
abdominal bleeding. In this
case a vertical incision is
preferred.
4 Deep dissection
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12/31/2018 Pelvic ring - Reduction & Fixation - Extraperitoneal pelvic packing - AT - AO Surgery Reference
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12/31/2018 Pelvic ring - Reduction & Fixation - Extraperitoneal pelvic packing - AT - AO Surgery Reference
6 Temporary closure
7 Packing removal
8 Final closure
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12/31/2018 Pelvic ring - Reduction & Fixation - Extraperitoneal pelvic packing - AT - AO Surgery Reference
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v1.0 2015-12-10
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