Diagnosis and Initial Management of Urological Injuries Associated with 200 Consecutive Pelvic Fractures

1983 ◽  
Vol 130 (4) ◽  
pp. 712-714 ◽  
Author(s):  
James Keith Palmer ◽  
George S. Benson ◽  
Joseph N. Corriere
Keyword(s):  
Pelvic Fractures ◽  
Initial Management ◽  
Urological Injuries

UROLOGICAL INJURIES ASSOCIATED WITH PELVIC FRACTURES

1969 ◽  
Vol 9 (6) ◽  
pp. 479-496 ◽  
Author(s):  
D. D. MOREHOUSE ◽  
K. J. MACKINNON
Keyword(s):  
Pelvic Fractures ◽  
Urological Injuries

scholarly journals Tile Type C Pelvic Fractures: Initial Management, Surgery and Rehabilitation Results of 12 Cases with Literature Review

2021 ◽  
pp. 1-8
Author(s):  
Hatim ABID ◽  
◽  
Mohammed EL IDRISSI ◽  
Keyword(s):  
Literature Review ◽  
Surgical Techniques ◽  
Pelvic Fractures ◽  
Definitive Treatment ◽  
Bone Lesions ◽  
Tile Type ◽  
Initial Management ◽  
Current Attitude ◽  
Therapeutic Principles ◽  
Type C

We report the results of 12 patients followed for Tile type C pelvic fractures treated with percutaneous sacroiliac screwing combined to anterior ring reduction and fixation provided by plate or external fixator during the last 4 years. this study was carried out in the light of literature review to focus on the therapeutic principles of the initial management, the different surgical techniques described for the definitive treatment of bone lesions, the current attitude regarding the rehabilitation of patients and the perspectives under development.

scholarly journals Urological injuries associated with pelvic fractures: A case report of a detached bone segment inside the bladder

2016 ◽  
Vol 28 ◽  
pp. 188-191 ◽  
Author(s):  
Saud M. Alfayez ◽  
Khalid Allimmia ◽  
Ahmad Alshammri ◽  
Firas Serro ◽  
Rakan Almogbel ◽  
...  
Keyword(s):  
Case Report ◽  
Pelvic Fractures ◽  
Bone Segment ◽  
Urological Injuries

scholarly journals FIVE YEARS CHARACTERISTIC OF URETHRAL TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017

2021 ◽  
Vol 28 (1) ◽  
pp. 30-34
Author(s):  
Tri Sunu Agung Nugroho ◽  
Kuncoro Adi
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Patient Characteristics ◽  
Tertiary Hospital ◽  
Pelvic Fractures ◽  
Initial Management ◽  
Urethral Trauma ◽  
Iatrogenic Trauma ◽  
Male Patients ◽  
Trauma Group

Objective: In this study, we try to describe the characteristics of patients with urethral trauma in Hasan Sadikin Hospital Bandung from 2013 to 2017. Material & Methods: The data were taken retrospectively from medical records in the Department of Urology with the permission of the ethical committee. The patient characteristics were then classified according to their age, etiology of trauma, location of trauma, grade of trauma, associated trauma, and initial management. Results: The number of trauma cases in Hasan Sadikin Hospital during 2013-2017 was 20.489, 477 of which (2.33%) were urogenital trauma. Of the total urogenital trauma, there were 124 patients with urethral trauma, male patients were more common (84.67%), with an average age of 34.67 (1-82) years. Seventy two patients (58.06%) were iatrogenic trauma (catheter instrumentation 44.35%, circumcision 6.45%, and others 7.25%), and fifty two patients (41.94%) were non-iatrogenic trauma (traffic accident 31.45%, falls from a height 7.25%, and occupational accident 3.22%). In non-iatrogenic trauma group, 40 patients (76.92%) had posterior urethral trauma and 12 patients (23.08%) had anterior urethral trauma. We found 22 (42.31%) of 52 patients with non-iatrogenic trauma were AAST grade I-II and 30 patients (57.69%) were AAST grade III-V. In patients with posterior urethral trauma, 25 patients (62.5%) had pelvic fractures. There were 10 patients (19.23%) who underwent primary endoscopic realignment within the first 72 hours while 30 patients (57.69%) underwent delayed urethroplasty 3 months after trauma, and the rest (23.08%) were treated conservatively. Conclusion: Urethral trauma in males occurs more frequently than in females. with the most common cause were catheter instrumentation (iatrogenic) and traffic accidents (non iatrogenic). Posterior urethral traumas had higher incidence than anterior urethral traumas, which were commonly associated with pelvic fractures.

Pelvic Impairments

2018 ◽  
Vol 23 (4) ◽  
pp. 9-10
Author(s):  
James Talmage ◽  
Jay Blaisdell
Keyword(s):  
Pelvic Ring ◽  
Reproductive Organs ◽  
High Impact ◽  
Pelvic Fractures ◽  
Motor Dysfunction ◽  
Impact Event ◽  
Concomitant Injuries ◽  
Rating Process ◽  
Pass Through ◽  
A Minor

Abstract Pelvic fractures are relatively uncommon, and in workers’ compensation most pelvic fractures are the result of an acute, high-impact event such as a fall from a roof or an automobile collision. A person with osteoporosis may sustain a pelvic fracture from a lower-impact injury such as a minor fall. Further, major parts of the bladder, bowel, reproductive organs, nerves, and blood vessels pass through the pelvic ring, and traumatic pelvic fractures that result from a high-impact event often coincide with damaged organs, significant bleeding, and sensory and motor dysfunction. Following are the steps in the rating process: 1) assign the diagnosis and impairment class for the pelvis; 2) assign the functional history, physical examination, and clinical studies grade modifiers; and 3) apply the net adjustment formula. Because pelvic fractures are so uncommon, raters may be less familiar with the rating process for these types of injuries. The diagnosis-based methodology for rating pelvic fractures is consistent with the process used to rate other musculoskeletal impairments. Evaluators must base the rating on reliable data when the patient is at maximum medical impairment and must assess possible impairment from concomitant injuries.

Initial Management of the Trauma Patient

1986 ◽  
Vol 2 (4) ◽  
pp. 705-716 ◽  
Author(s):  
John A. Weigelt
Keyword(s):  
Trauma Patient ◽  
Initial Management

Thrombolysis in Arterial Occlusion

1999 ◽  
Vol 82 (S 01) ◽  
pp. 109-111 ◽  
Author(s):  
Raymond Verhaeghe
Keyword(s):  
Clinical Practice ◽  
Thrombolytic Therapy ◽  
Hemorrhagic Stroke ◽  
Surgical Intervention ◽  
Bypass Graft ◽  
Surgical Techniques ◽  
Arterial Occlusion ◽  
Second Step ◽  
Severe Bleeding ◽  
Initial Management

SummaryIntra-arterial thrombolytic therapy has replaced systemic intravenous infusion of thrombolytic agents as a treatment modality for arterial occlusion in the limbs. Several catheter-guided techniques and various infusion methods and schemes have been developed. At present there is no scientific proof of definite superiority of any agent in terms of efficacy or safety but clinical practice favours the use of urokinase or alteplase. Studies which compared thrombolysis to surgical intervention suggest that thrombolytic therapy is an appropriate initial management in patients with acute occlusion of a native leg artery or a bypass graft. Underlying causative lesions are treated in a second step by endovascular or open surgical techniques. Severe bleeding is the most feared complication: the risk of hemorrhagic stroke is 1-2%.

Delayed Mesenteric Hematoma of the Sigmoid Colon Following Blunt Abdominal Trauma

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Motor Vehicle ◽  
Pelvic Fractures ◽  
Motor Vehicle Crash ◽  
Organ Injury ◽  
Contrast Extravasation ◽  
Body Fracture ◽  
Mesenteric Hematoma ◽  
Level I ◽  
Hispanic Male ◽  
Trauma Bay

A 25-year-old Hispanic male was transferred to our level I trauma center after being ejected 40 feet from a motor vehicle crash. Once stabilized in the trauma bay, a computed tomography (CT) scan of the abdomen/pelvis with IV contrast revealed two AAST Organ Injury Scale grade III liver lacerations without contrast extravasation, bilateral pulmonary contusions, right posterior non-displaced fourth rib fracture, non-displaced right scapular body fracture, and bilateral anterior and posterior pelvic fractures [Figures 1–2]. A non-operative approach to the hepatic lacerations was chosen and the patient underwent closed reduction and percutaneous pinning of his posterior pelvic fractures as well as anterior external fixation of his bilateral pubic rami fractures.

Sign in / Sign up

Export Citation Format

Share Document