The management of penetrating pelvic trauma

M. A. Malangoni, F. B. Miller, H. M. Cryer, R. J. Mullins, J. D. Richardson

    Research output: Contribution to journalArticle

    5 Scopus citations

    Abstract

    Eighty-nine patients with penetrating pelvic trauma were treated during a three-year period. Sixty-three of 72 patients who had mandatory exploration had findings at operation. The negative laparotomy rate was higher for patients with posterior penetrations (40%). Diagnostic peritoneal lavage, sigmoidoscopy, and intravenous pyelography were useful adjunctive tests to confirm the lack of need for exploration in patients with negative physical findings. This protocol of tests was particularly useful for patients with posterior sites of injury. Patients with injury to multiple organ systems had a higher rate of infectious complications (48%) than those with single system injury (11% complication rate). Primary repair of colon, urologic and vascular injuries was safe even in patients with injury to multiple organ systems.

    Original languageEnglish (US)
    Pages (from-to)61-65
    Number of pages5
    JournalAmerican Surgeon
    Volume56
    Issue number2
    StatePublished - Jan 1 1990

    ASJC Scopus subject areas

    • Surgery

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    Malangoni, M. A., Miller, F. B., Cryer, H. M., Mullins, R. J., & Richardson, J. D. (1990). The management of penetrating pelvic trauma. American Surgeon, 56(2), 61-65.