Digestive Disease Interventions 2018; 02(02): 150-158
DOI: 10.1055/s-0038-1655737
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Minimally Invasive Management of Abdominal Trauma

Kaitlin A. Ritter
1   Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
Jeffrey A. Claridge
2   Division of Trauma, Critical Care, Burns and Emergency General Surgery, Department of Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio
Kevin El-Hayek
1   Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
3   Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

26 March 2018

29 March 2018

Publication Date:
05 June 2018 (online)


Management of traumatic abdominal injuries has traditionally relied upon a combination of systematic physical examination, image-guided evaluation, clinical judgment, and, when necessary, maximally invasive surgical intervention. Advances in the fields of interventional radiology, endoscopy, and laparoscopy have altered these traditional treatment algorithms. As growth of these techniques continues, an increasing number of minimally invasive strategies are available to clinicians for the management of abdominal trauma. Here reviewed is a brief overview of minimally invasive strategies for the management of non–solid organ abdominal trauma with a focus on new, minimally invasive diagnostic and treatment tools.

  • References

  • 1 DiMaggio C, Ayoung-Chee P, Shinseki M. , et al. Traumatic injury in the United States: in-patient epidemiology 2000-2011. Injury 2016; 47 (07) 1393-1403
  • 2 Segui-Gomez M, MacKenzie EJ. Measuring the public health impact of injuries. Epidemiol Rev 2003; 25: 3-19
  • 3 DiMaggio CJ, Avraham JB, Lee DC, Frangos SG, Wall SP. The epidemiology of emergency department trauma discharges in the United States. Acad Emerg Med 2017; 24 (10) 1244-1256
  • 4 van Olden GD, Meeuwis JD, Bolhuis HW, Boxma H, Goris RJ. Clinical impact of advanced trauma life support. Am J Emerg Med 2004; 22 (07) 522-525
  • 5 van Olden GD, Meeuwis JD, Bolhuis HW, Boxma H, Goris RJ. Advanced trauma life support study: quality of diagnostic and therapeutic procedures. J Trauma 2004; 57 (02) 381-384
  • 6 Hoff WS, Holevar M, Nagy KK. , et al; Eastern Association for the Surgery of Trauma. Practice management guidelines for the evaluation of blunt abdominal trauma: the East practice management guidelines work group. J Trauma 2002; 53 (03) 602-615
  • 7 Como JJ, Bokhari F, Chiu WC. , et al. Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma 2010; 68 (03) 721-733
  • 8 Gould JE, Vedantham S. The role of interventional radiology in trauma. Semin Intervent Radiol 2006; 23 (03) 270-278
  • 9 van der Vlies CH, Olthof DC, Gaakeer M, Ponsen KJ, van Delden OM, Goslings JC. Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs. Int J Emerg Med 2011; 4: 47
  • 10 Grushka J, Ginzburg E. Through the 10-mm looking glass: advances in minimally invasive surgery in trauma. Scand J Surg 2014; 103 (02) 143-148
  • 11 Manoach S, Paladino L. Manual in-line stabilization for acute airway management of suspected cervical spine injury: historical review and current questions. Ann Emerg Med 2007; 50 (03) 236-245
  • 12 Chang LC, Raty SR, Ortiz J, Bailard NS, Mathew SJ. The emerging use of ketamine for anesthesia and sedation in traumatic brain injuries. CNS Neurosci Ther 2013; 19 (06) 390-395
  • 13 Kummer C, Netto FS, Rizoli S, Yee D. A review of traumatic airway injuries: potential implications for airway assessment and management. Injury 2007; 38 (01) 27-33
  • 14 Mayglothling J, Duane TM, Gibbs M. , et al; Eastern Association for the Surgery of Trauma. Emergency tracheal intubation immediately following traumatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73 (05) (Suppl. 04) S333-S340
  • 15 Aziz MF, Dillman D, Fu R, Brambrink AM. Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway. Anesthesiology 2012; 116 (03) 629-636
  • 16 Silverberg MJ, Li N, Acquah SO, Kory PD. Comparison of video laryngoscopy versus direct laryngoscopy during urgent endotracheal intubation: a randomized controlled trial. Crit Care Med 2015; 43 (03) 636-641
  • 17 Yeatts DJ, Dutton RP, Hu PF. , et al. Effect of video laryngoscopy on trauma patient survival: a randomized controlled trial. J Trauma Acute Care Surg 2013; 75 (02) 212-219
  • 18 Jiang J, Ma D, Li B, Yue Y, Xue F. Video laryngoscopy does not improve the intubation outcomes in emergency and critical patients - a systematic review and meta-analysis of randomized controlled trials. Crit Care 2017; 21 (01) 288
  • 19 Higgins KM, Punthakee X. Meta-analysis comparison of open versus percutaneous tracheostomy. Laryngoscope 2007; 117 (03) 447-454
  • 20 Decker S, Gottlieb J, Cruz DL. , et al. Percutaneous dilatational tracheostomy (PDT) in trauma patients: a safe procedure. Eur J Trauma Emerg Surg 2016; 42 (05) 605-610
  • 21 Dennis BM, Eckert MJ, Gunter OL, Morris Jr JA, May AK. Safety of bedside percutaneous tracheostomy in the critically ill: evaluation of more than 3,000 procedures. J Am Coll Surg 2013; 216 (04) 858-865 , discussion 865–867
  • 22 Davidson SB, Blostein PA, Walsh J, Maltz SB, VandenBerg SL. Percutaneous tracheostomy: a new approach to the emergency airway. J Trauma Acute Care Surg 2012; 73 (02) (Suppl. 01) S83-S88
  • 23 Ben-Nun A, Altman E, Best LA. Emergency percutaneous tracheostomy in trauma patients: an early experience. Ann Thorac Surg 2004; 77 (03) 1045-1047
  • 24 Ravi PR, Vijai MN, Shouche S. Realtime ultrasound guided percutaneous tracheostomy in emergency setting: the glass ceiling has been broken. Disaster Mil Med 2017; 3 (03) 7
  • 25 Subcommittee on Advanced Trauma Life Support (ATLS) of the American College of Surgeons (ACS), Committee on Trauma, 1987–1988. Advanced Trauma Life Support Course for Physicians. Chicago, IL: Committee on Trauma, American College of Surgeons; 2013
  • 26 Engels PT, Passos E, Beckett AN, Doyle JD, Tien HC. IV access in bleeding trauma patients: a performance review. Injury 2014; 45 (01) 77-82
  • 27 Choron RL, Wang A, Van Orden K, Capano-Wehrle L, Seamon MJ. Emergency central venous catheterization during trauma resuscitation: a safety analysis by site. Am Surg 2015; 81 (05) 527-531
  • 28 Haldane AG, Hoover LR. Vascular access and infusion devices for combat anesthesia. In: Buckenmaire C, Mahoney PF. , eds. Combat Anesthesia: The First 24 Hours. Fort Sam Houston, TX: Department of the Army; 2016: 63-73
  • 29 Scalea TM, Sinert R, Duncan AO. , et al. Percutaneous central venous access for resuscitation in trauma. Acad Emerg Med 1994; 1 (06) 525-531
  • 30 Kesser BW, Chance E, Kleiner D, Young JS. Contemporary management of penetrating neck trauma. Am Surg 2009; 75 (01) 1-10
  • 31 Westfall MD, Price KR, Lambert M. , et al. Intravenous access in the critically ill trauma patient: a multicentered, prospective, randomized trial of saphenous cutdown and percutaneous femoral access. Ann Emerg Med 1994; 23 (03) 541-545
  • 32 Petitpas F, Guenezan J, Vendeuvre T, Scepi M, Oriot D, Mimoz O. Use of intra-osseous access in adults: a systematic review. Crit Care 2016; 20: 102
  • 33 Neufeld JD, Marx JA, Moore EE, Light AI. Comparison of intraosseous, central, and peripheral routes of crystalloid infusion for resuscitation of hemorrhagic shock in a swine model. J Trauma 1993; 34 (03) 422-428
  • 34 Leidel BA, Kirchhoff C, Bogner V, Braunstein V, Biberthaler P, Kanz KG. Comparison of intraosseous versus central venous vascular access in adults under resuscitation in the emergency department with inaccessible peripheral veins. Resuscitation 2012; 83 (01) 40-45
  • 35 Paxton JH, Knuth TE, Klausner HA. Proximal humerus intraosseous infusion: a preferred emergency venous access. J Trauma 2009; 67 (03) 606-611
  • 36 O'Connor RE. Intraosseous vascular access in the out-of-hospital setting position statement of the National Association of EMS physicians. Prehosp Emerg Care 2007; 11 (01) 62
  • 37 Voigt J, Waltzman M, Lottenberg L. Intraosseous vascular access for in-hospital emergency use: a systematic clinical review of the literature and analysis. Pediatr Emerg Care 2012; 28 (02) 185-199
  • 38 Block SA, Block AJ, Silva P. Adult intraosseous use in academic emergency departments and simulated comparisons of emergency vascular access techniques. Ann Emerg Surg 2010; 56: S152
  • 39 Lavis M, Vaghela A, Tozer C. Adult intraosseous infusion in accident and emergency departments in the UK. J Accid Emerg Med 2000; 17 (01) 29-32
  • 40 Schnüriger B, Lam L, Inaba K, Kobayashi L, Barbarino R, Demetriades D. Negative laparotomy in trauma: are we getting better?. Am Surg 2012; 78 (11) 1219-1223
  • 41 Lee BC, Ormsby EL, McGahan JP, Melendres GM, Richards JR. The utility of sonography for the triage of blunt abdominal trauma patients to exploratory laparotomy. AJR Am J Roentgenol 2007; 188 (02) 415-421
  • 42 Young K, Benson M, Higgins A. , et al. In the modern era of CT, do blunt trauma patients with markers for blunt bowel or mesenteric injury still require exploratory laparotomy?. Am Surg 2017; 83 (07) 722-727
  • 43 Navsaria PH, Nicol AJ, Edu S, Gandhi R, Ball CG. Selective nonoperative management in 1106 patients with abdominal gunshot wounds: conclusions on safety, efficacy, and the role of selective CT imaging in a prospective single-center study. Ann Surg 2015; 261 (04) 760-764
  • 44 Biffl WL, Kaups KL, Cothren CC. , et al. Management of patients with anterior abdominal stab wounds: a Western Trauma Association multicenter trial. J Trauma 2009; 66 (05) 1294-1301
  • 45 Haan J, Kole K, Brunetti A, Kramer M, Scalea TM. Nontherapeutic laparotomies revisited. Am Surg 2003; 69 (07) 562-565
  • 46 van Gool MH, Giannakopoulos GF, Geeraedts Jr LM, de Lange-de Klerk ES, Zuidema WP. Complications after laparotomy for trauma: a retrospective analysis in a level I trauma centre. Langenbecks Arch Surg 2015; 400 (01) 83-90
  • 47 Choi KC, Peek-Asa C, Lovell M, Torner JC, Zwerling C, Kealey GP. Complications after therapeutic trauma laparotomy. J Am Coll Surg 2005; 201 (04) 546-553
  • 48 Morrison JE, Wisner DH, Bodai BI. Complications after negative laparotomy for trauma: long-term follow-up in a health maintenance organization. J Trauma 1996; 41 (03) 509-513
  • 49 Crookes BA, Shackford SR, Gratton J, Khaleel M, Ratliff J, Osler T. “Never be wrong”: the morbidity of negative and delayed laparotomies after blunt trauma. J Trauma 2010; 69 (06) 1386-1391 , discussion 1391–1392
  • 50 Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons. Guidelines for Diagnostic Laparoscopy. Los Angeles, CA: SAGES; 2010
  • 51 Kaban GK, Novitsky YW, Perugini RA. , et al. Use of laparoscopy in evaluation and treatment of penetrating and blunt abdominal injuries. Surg Innov 2008; 15 (01) 26-31
  • 52 O'Malley E, Boyle E, O'Callaghan A, Coffey JC, Walsh SR. Role of laparoscopy in penetrating abdominal trauma: a systematic review. World J Surg 2013; 37 (01) 113-122
  • 53 Kawahara NT, Alster C, Fujimura I, Poggetti RS, Birolini D. Standard examination system for laparoscopy in penetrating abdominal trauma. J Trauma 2009; 67 (03) 589-595
  • 54 Matsevych OY, Koto MZ, Motilall SR, Kumar N. The role of laparoscopy in management of stable patients with penetrating abdominal trauma and organ evisceration. J Trauma Acute Care Surg 2016; 81 (02) 307-311
  • 55 Zafar SN, Onwugbufor MT, Hughes K. , et al. Laparoscopic surgery for trauma: the realm of therapeutic management. Am J Surg 2015; 209 (04) 627-632
  • 56 Chestovich PJ, Browder TD, Morrissey SL, Fraser DR, Ingalls NK, Fildes JJ. Minimally invasive is maximally effective: Diagnostic and therapeutic laparoscopy for penetrating abdominal injuries. J Trauma Acute Care Surg 2015; 78 (06) 1076-1083 , discussion 1083–1085
  • 57 Li Y, Xiang Y, Wu N. , et al. A comparison of laparoscopy and laparotomy for the management of abdominal trauma: a systematic review and meta-analysis. World J Surg 2015; 39 (12) 2862-2871
  • 58 Kamine TH, Papavassiliou E, Schneider BE. Effect of abdominal insufflation for laparoscopy on intracranial pressure. JAMA Surg 2014; 149 (04) 380-382
  • 59 Weinberg JA, Magnotti LJ, Edwards NM. , et al. “Awake” laparoscopy for the evaluation of equivocal penetrating abdominal wounds. Injury 2007; 38 (01) 60-64
  • 60 Kindel T, Latchana N, Swaroop M. , et al. Laparoscopy in trauma: An overview of complications and related topics. Int J Crit Illn Inj Sci 2015; 5 (03) 196-205
  • 61 Wiedeman JE, Knolmayer TJ, Bowyer MW. Is tension pneumothorax a threat in trauma laparoscopy?. J Trauma 1998; 45 (04) 677-683
  • 62 Machairiotis N, Kougioumtzi I, Dryllis G. , et al. Laparoscopy induced pneumothorax. J Thorac Dis 2014; 6 (04) (Suppl. 04) S404-S406
  • 63 Nelson D, Porta C, Satterly S. , et al. Physiology and cardiovascular effect of severe tension pneumothorax in a porcine model. J Surg Res 2013; 184 (01) 450-457
  • 64 Velmahos GC, Spaniolas K, Duggan M. , et al. Abdominal insufflation for control of bleeding after severe splenic injury. J Trauma 2007; 63 (02) 285-288 , discussion 288–290
  • 65 Kasotakis G, Duggan M, Li Y. , et al. Optimal pressure of abdominal gas insufflation for bleeding control in a severe swine splenic injury model. J Surg Res 2013; 184 (02) 931-936
  • 66 Jaskille A, Schechner A, Park K, Williams M, Wang D, Sava J. Abdominal insufflation decreases blood loss and mortality after porcine liver injury. J Trauma 2005; 59 (06) 1305-1308 , discussion 1308
  • 67 Stassen NA, Bhullar I, Cheng JD. , et al; Eastern Association for the Surgery of Trauma. Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73 (05) (Suppl. 04) S288-S293
  • 68 Stassen NA, Bhullar I, Cheng JD. , et al; Eastern Association for the Surgery of Trauma. Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73 (05) (Suppl. 04) S294-S300
  • 69 Root HD, Hauser CW, McKinley CR, Lafave JW, Mendiola Jr RP. Diagnostic peritoneal lavage. Surgery 1965; 57 (05) 633-637
  • 70 Fischer RP, Beverlin BC, Engrav LH, Benjamin CI, Perry Jr JF. Diagnostic peritoneal lavage: fourteen years and 2,586 patients later. Am J Surg 1978; 136 (06) 701-704
  • 71 Henneman PL, Marx JA, Moore EE, Cantrill SV, Ammons LA. Diagnostic peritoneal lavage: accuracy in predicting necessary laparotomy following blunt and penetrating trauma. J Trauma 1990; 30 (11) 1345-1355
  • 72 Rhodes CM, Smith HL, Sidwell RA. Utility and relevance of diagnostic peritoneal lavage in trauma education. J Surg Educ 2011; 68 (04) 313-317
  • 73 Bhan C, Forshaw MJ, Bew DP, Kapadia YK. Diagnostic peritoneal lavage and ultrasonography for blunt abdominal trauma: attitudes and training of current general surgical trainees. Eur J Emerg Med 2007; 14 (04) 212-215
  • 74 Cha JY, Kashuk JL, Sarin EL. , et al. Diagnostic peritoneal lavage remains a valuable adjunct to modern imaging techniques. J Trauma 2009; 67 (02) 330-334 , discussion 334–336
  • 75 Wang YC, Hsieh CH, Fu CY, Yeh CC, Wu SC, Chen RJ. Hollow organ perforation in blunt abdominal trauma: the role of diagnostic peritoneal lavage. Am J Emerg Med 2012; 30 (04) 570-573
  • 76 Fakhry SM, Watts DD, Luchette FA. ; EAST Multi-Institutional Hollow Viscus Injury Research Group. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma 2003; 54 (02) 295-306
  • 77 Faulconer ER, Branco BC, Loja MN. , et al. Use of open and endovascular surgical techniques to manage vascular injuries in the trauma setting: A review of the American Association for the Surgery of Trauma PROspective Observational Vascular Injury Trial registry. J Trauma Acute Care Surg 2018; 84 (03) 411-417
  • 78 DuBose JJ, Savage SA, Fabian TC. , et al; AAST PROOVIT Study Group. The American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment (PROOVIT) registry: multicenter data on modern vascular injury diagnosis, management, and outcomes. J Trauma Acute Care Surg 2015; 78 (02) 215-222 , discussion 222–223
  • 79 Johnson CA. Endovascular management of peripheral vascular trauma. Semin Intervent Radiol 2010; 27 (01) 38-43
  • 80 Katsanos K, Sabharwal T, Carrell T, Dourado R, Adam A. Peripheral endografts for the treatment of traumatic arterial injuries. Emerg Radiol 2009; 16 (03) 175-184
  • 81 Franz RW, Shah KJ, Halaharvi D, Franz ET, Hartman JF, Wright ML. A 5-year review of management of lower extremity arterial injuries at an urban level I trauma center. J Vasc Surg 2011; 53 (06) 1604-1610
  • 82 Doody O, Given MF, Lyon SM. Extremities--indications and techniques for treatment of extremity vascular injuries. Injury 2008; 39 (11) 1295-1303
  • 83 Richmond BK, Judhan R, Sherrill W. , et al. Trends and outcomes in the operative management of traumatic vascular injuries: a comparison of open versus endovascular approaches. Am Surg 2017; 83 (05) 495-501
  • 84 Branco BC, DuBose JJ, Zhan LX. , et al. Trends and outcomes of endovascular therapy in the management of civilian vascular injuries. J Vasc Surg 2014; 60 (05) 1297-1307 , 1307.e1
  • 85 Fox N, Rajani RR, Bokhari F. , et al; Eastern Association for the Surgery of Trauma. Evaluation and management of penetrating lower extremity arterial trauma: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73 (05) (Suppl. 04) S315-S320
  • 86 Feliciano DV, Moore FA, Moore EE. , et al. Evaluation and management of peripheral vascular injury. Part 1. Western Trauma Association/critical decisions in trauma. J Trauma 2011; 70 (06) 1551-1556
  • 87 Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma 2011; 71 (06) 1869-1872
  • 88 Breener M, Bulger EM, Perina DG. , et al. Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA). Trauma Surg Acute Care Open 2018; 3 (01) 1-3
  • 89 Saito N, Matsumoto H, Yagi T. , et al. Evaluation of the safety and feasibility of resuscitative endovascular balloon occlusion of the aorta. J Trauma Acute Care Surg 2015; 78 (05) 897-903 , discussion 904
  • 90 Brenner ML, Moore LJ, DuBose JJ. , et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation. J Trauma Acute Care Surg 2013; 75 (03) 506-511
  • 91 Moore LJ, Brenner M, Kozar RA. , et al. Implementation of resuscitative endovascular balloon occlusion of the aorta as an alternative to resuscitative thoracotomy for noncompressible truncal hemorrhage. J Trauma Acute Care Surg 2015; 79 (04) 523-530 , discussion 530–532
  • 92 DuBose JJ, Scalea TM, Brenner M. , et al; AAST AORTA Study Group. The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). J Trauma Acute Care Surg 2016; 81 (03) 409-419
  • 93 Santucci RA, McAninch JW, Safir M, Mario LA, Service S, Segal MR. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma 2001; 50 (02) 195-200
  • 94 Kuan JK, Wright JL, Nathens AB, Rivara FP, Wessells H. ; American Association for the Surgery of Trauma. American Association for the Surgery of Trauma Organ Injury Scale for kidney injuries predicts nephrectomy, dialysis, and death in patients with blunt injury and nephrectomy for penetrating injuries. J Trauma 2006; 60 (02) 351-356
  • 95 Keihani S, Xu Y, Presson AP. , et al; Genito-Urinary Trauma Study Group. Contemporary management of high-grade renal trauma: Results from the American Association for the Surgery of Trauma Genitourinary Trauma study. J Trauma Acute Care Surg 2018; 84 (03) 418-425
  • 96 van der Wilden GM, Velmahos GC, Joseph DK. , et al. Successful nonoperative management of the most severe blunt renal injuries: a multicenter study of the research consortium of New England Centers for Trauma. JAMA Surg 2013; 148 (10) 924-931
  • 97 Vozianov S, Sabadash M, Shulyak A. Experience of renal artery embolization in patients with blunt kidney trauma. Cent European J Urol 2015; 68 (04) 471-477
  • 98 Hotaling JM, Sorensen MD, Smith III TG, Rivara FP, Wessells H, Voelzke BB. Analysis of diagnostic angiography and angioembolization in the acute management of renal trauma using a national data set. J Urol 2011; 185 (04) 1316-1320
  • 99 Holevar M, Ebert J, Luchette F. , et al. Practice management guidelines for the management of genitourinary trauma. EAST Guidelines. 2004
  • 100 Serafetinides E, Kitrey ND, Djakovic N. , et al. Review of the current management of upper urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol 2015; 67 (05) 930-936
  • 101 Geeraerts T, Chhor V, Cheisson G. , et al. Clinical review: initial management of blunt pelvic trauma patients with haemodynamic instability. Crit Care 2007; 11 (01) 204
  • 102 Margolies MN, Ring EJ, Waltman AC, Kerr Jr WS, Baum S. Arteriography in the management of hemorrhage from pelvic fractures. N Engl J Med 1972; 287 (07) 317-321
  • 103 Cullinane DC, Schiller HJ, Zielinski MD. , et al. Eastern Association for the Surgery of Trauma practice management guidelines for hemorrhage in pelvic fracture--update and systematic review. J Trauma 2011; 71 (06) 1850-1868
  • 104 Velmahos GC, Chahwan S, Falabella A, Hanks SE, Demetriades D. Angiographic embolization for intraperitoneal and retroperitoneal injuries. World J Surg 2000; 24 (05) 539-545
  • 105 Velmahos GC, Toutouzas KG, Vassiliu P. , et al. A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuries. J Trauma 2002; 53 (02) 303-308 , discussion 308
  • 106 Yasumura K, Ikegami K, Kamohara T, Nohara Y. High incidence of ischemic necrosis of the gluteal muscle after transcatheter angiographic embolization for severe pelvic fracture. J Trauma 2005; 58 (05) 985-990
  • 107 Travis T, Monsky WL, London J. , et al. Evaluation of short-term and long-term complications after emergent internal iliac artery embolization in patients with pelvic trauma. J Vasc Interv Radiol 2008; 19 (06) 840-847
  • 108 Matityahu A, Marmor M, Elson JK. , et al. Acute complications of patients with pelvic fractures after pelvic angiographic embolization. Clin Orthop Relat Res 2013; 471 (09) 2906-2911
  • 109 Hymel A, Asturias S, Zhao F. , et al. Selective versus nonselective embolization versus no embolization in pelvic trauma: A multicenter retrospective cohort study. J Trauma Acute Care Surg 2017; 83 (03) 361-367
  • 110 Tesoriero RB, Bruns BR, Narayan M. , et al. Angiographic embolization for hemorrhage following pelvic fracture: Is it “time” for a paradigm shift?. J Trauma Acute Care Surg 2017; 82 (01) 18-26
  • 111 Gänsslen A, Giannoudis P, Pape HC. Hemorrhage in pelvic fracture: who needs angiography?. Curr Opin Crit Care 2003; 9 (06) 515-523
  • 112 Schwartz DA, Medina M, Cotton BA. , et al. Are we delivering two standards of care for pelvic trauma? Availability of angioembolization after hours and on weekends increases time to therapeutic intervention. J Trauma Acute Care Surg 2014; 76 (01) 134-139
  • 113 Hsu JM, Yadev S, Faraj S. Controlling hemorrhage in exsanguinating pelvic fractures: utility of extraperitoneal pelvic packing as a damage control procedure. Int J Crit Illn Inj Sci 2016; 6 (03) 148-152
  • 114 Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, Smith WR. Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift. J Trauma 2007; 62 (04) 834-839 , discussion 839–842
  • 115 Burlew CC, Moore EE, Stahel PF. , et al. Preperitoneal pelvic packing reduces mortality in patients with life-threatening hemorrhage due to unstable pelvic fractures. J Trauma Acute Care Surg 2017; 82 (02) 233-242
  • 116 Burlew CC, Moore EE, Smith WR. , et al. Preperitoneal pelvic packing/external fixation with secondary angioembolization: optimal care for life-threatening hemorrhage from unstable pelvic fractures. J Am Coll Surg 2011; 212 (04) 628-635 , discussion 635–637