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World J Emerg Surg. 2017 Jan 18;12:5. doi: 10.1186/s13017-017-0117-6. eCollection 2017.

Pelvic trauma: WSES classification and guidelines.

Author information

1
General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.
2
Department of Orthopedic Surgery and Department of Neurosurgery, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO USA.
3
Acute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.
4
Dept. of Cardiothoracic and Vascular Surgery & Dept. Of Surgery Örebro University Hospital and Örebro University, Örebro, Sweden.
5
Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.
6
Division of General Surgery Rambam Health Care Campus Haifa, Haifa, Israel.
7
Trauma Surgery, Denver Health, Denver, CO USA.
8
Surgery Department, University of Pittsburgh, Pittsburgh, Pensylvania USA.
9
Virginia Commonwealth University, Richmond, VA USA.
10
Department of Surgery, UC San Diego Health System, San Diego, USA.
11
Faculdade de Ciências Médicas (FCM) - Unicamp, Campinas, SP Brazil.
12
Trauma & Acute Care Service, St Michael's Hospital, Toronto, ON Canada.
13
General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery Foothills Medical Centre, Calgary, AB Canada.
14
Abdominal Center, University Hospital Meilahti, Helsinki, Finland.
15
Emergency and Trauma Surgery, Niguarda Hospital, Milan, Italy.
16
Digestive and Emergency Surgery, UGA-Université Grenoble Alpes, Grenoble, France.
17
Harvard Medical School, Division of Trauma, Emergency Surgery and Surgical Critical Care Massachusetts General Hospital, Boston, MA USA.
18
Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.
19
Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.
20
Department of General Surgery, Royal Perth Hospital, Perth, Australia.
21
Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
22
General and Emergency Surgery, Macerata Hospital, Macerata, Italy.

Abstract

Complex pelvic injuries are among the most dangerous and deadly trauma related lesions. Different classification systems exist, some are based on the mechanism of injury, some on anatomic patterns and some are focusing on the resulting instability requiring operative fixation. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic impairment of pelvic ring function and the associated injuries. The management of pelvic trauma patients aims definitively to restore the homeostasis and the normal physiopathology associated to the mechanical stability of the pelvic ring. Thus the management of pelvic trauma must be multidisciplinary and should be ultimately based on the physiology of the patient and the anatomy of the injury. This paper presents the World Society of Emergency Surgery (WSES) classification of pelvic trauma and the management Guidelines.

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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