The management of penetrating pelvic trauma

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

Research output: Contribution to journalArticle

5 Citations (Scopus)

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 - 1990
Externally publishedYes

Fingerprint

Wounds and Injuries
Multiple Trauma
Peritoneal Lavage
Sigmoidoscopy
Urography
Vascular System Injuries
Laparotomy
Colon

ASJC Scopus subject areas

  • Surgery

Cite this

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

The management of penetrating pelvic trauma. / Malangoni, M. A.; Miller, F. B.; Cryer, H. M.; Mullins, Richard; Richardson, J. D.

In: American Surgeon, Vol. 56, No. 2, 1990, p. 61-65.

Research output: Contribution to journalArticle

Malangoni, MA, Miller, FB, Cryer, HM, Mullins, R & Richardson, JD 1990, 'The management of penetrating pelvic trauma', American Surgeon, vol. 56, no. 2, pp. 61-65.
Malangoni MA, Miller FB, Cryer HM, Mullins R, Richardson JD. The management of penetrating pelvic trauma. American Surgeon. 1990;56(2):61-65.
Malangoni, M. A. ; Miller, F. B. ; Cryer, H. M. ; Mullins, Richard ; Richardson, J. D. / The management of penetrating pelvic trauma. In: American Surgeon. 1990 ; Vol. 56, No. 2. pp. 61-65.
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